产后医疗补助在分娩父母的使用和获得资助护理的机会
Jonas J Swartz1,2, Ashley Lawson Avis3, M Kate Bundorf2,4
1Department of Obstetrics & Gynecology, Duke University School of Medicine, Durham, North Carolina.
JAMA health forum
|June 27, 2025
概括
将产后医疗补助覆盖范围延长到12个月,增加了持续的入学率和获得避孕,初级保健和心理健康服务的机会. 这一政策的扩大改善了受益人对产后医疗保健的利用率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 孕产妇健康 孕产妇健康
背景情况:
- 2021年美国救援计划使各州能够将医疗补助计划的怀孕覆盖范围扩展到产后12个月.
- 这一政策对医疗补助覆盖率和医疗保健利用率的影响在很大程度上仍未得到量化.
研究的目的:
- 评估延长产后医疗补助覆盖范围对保险连续性和医疗保健利用的影响.
- 量化获得产后访问,避孕,初级保健,心理健康和物质使用障碍服务的变化.
主要方法:
- 从2016年3月到2023年12月,对北卡罗来纳州的医疗补助申请数据进行了回顾性分析.
- 包括2017年1月至2022年12月期间的Medicaid资助的分娩,比较12个月产后延期之前,期间和之后的时期.
主要成果:
- 产后12个月的连续医疗补助覆盖率随着延长而显著增加,从26.5%增加到97.1%.
- 与扩展前队列相比,扩展覆盖范围的受益人使用避孕,初级保健,心理健康和物质使用障碍服务的比例更高.
- 尽管整体使用率增加,但在产后早期和避孕探访中观察到延迟.
结论:
- 将Medicaid产后保险延长到12个月与改善获得基本医疗和行为健康服务有关.
- 这一政策可以加强慢性疾病的预防和管理,潜在地减轻不利的孕产妇健康结果.
- 调查结果为政策制定者和公共卫生官员提供了有关扩大医疗补助覆盖范围的好处的宝贵见解.
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