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在医疗补助终止期间,为儿童和年轻人提供慢性药物的变化
Kao-Ping Chua1,2, Joanne Constantin1, Genevieve M Kenney3
1Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, Michigan.
Pediatrics
|May 2, 2025
概括
医疗补助计划的撤销扰乱了年轻患者,特别是年轻成年人的慢性药物获取,增加了治疗差距和自付费用. 政策制定者应该帮助被撤销的个人获得替代医疗保险.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科健康 儿科健康
- 卫生政策 卫生政策
背景情况:
- 在COVID-19大流行期间,医疗补助资格确定暂停.
- 这些决定于2023年4月恢复,这一过程被称为"医疗补助解散".
研究的目的:
- 评估医疗补助计划解散对年轻患者慢性药物治疗的影响.
- 评估儿童和年轻人的药物获取中断情况.
主要方法:
- 美国大型药房数据库 (2017-2023) 的差异分析.
- 包括医疗补助保险的儿童 (0-18) 和年轻人 (19-25) 使用5种慢性药物类别.
- 较高与低的医疗补助入学损失的州的药物获取变化.
主要成果:
- 医疗补助计划的撤销与儿童和年轻人的有效处方日数减少有关.
- 对于所有研究的药物类别,年轻人面临没有处方或使用现金支付处方的风险增加.
- 儿童对3种药物类别的现金支付处方风险增加.
结论:
- 医疗补助计划的撤销显著破坏了年轻患者的慢性药物治疗,对年轻成年人影响更大.
- 干扰包括降低药物坚持和增加财务负担.
- 政策干预是必要的,以帮助退役患者获得替代保险和维持治疗.
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