医疗保健金融毒性的风险因素在医疗保健中的金融毒性
Randall A Bloch1, Louis L Nguyen
1Center for Surgery and Public Health, Brigham and Women's Hospital, 1620 Tremont St, Boston, MA 02120.
The American journal of managed care
|June 25, 2025
概括
金融毒性 (FT) 影响患者
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 财务毒性 (FT) 描述了医疗保健费用对患者财务稳定性和获得护理的负面影响.
- 现有的FT研究主要集中在癌症等特定疾病上,需要更广泛的人口层面分析.
研究的目的:
- 确定与一般成人人口金融毒性相关的关键风险因素.
- 了解由于医疗保健费用而导致的经济困难的普遍性和决定因素.
主要方法:
- 进行了对2022年国家卫生访谈调查 (NHIS) 数据的横截面分析.
- 财务毒性是用未加权的答案和八个财务困难问题来衡量的,称为FinTox得分.
- 使用负二项式模型分析FinTox评分的风险因素.
主要成果:
- 该研究包括27,246名成年人;17.1%的人报告至少有一次与医疗保健费用相关的财务困难.
- 与较低的财务毒性相关的因素包括年龄增长,高等教育和更高的收入.
- 相反,非自愿失业,暂时失去医疗保险和高扣除健康计划与增加的财务毒性有关.
结论:
- 确定金融毒性的人口水平风险因素对于积极的患者鉴定和干预至关重要.
- 这种理解可以指导策略,以减轻灾难性的财务结果,并改善弱势群体获得医疗保健的机会.
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