预孕和产前医疗保险覆盖医疗补助保险的分娩
Emily F Gregory1,2, Adya I Maddox2, Laura Gibson3
1Division of General Pediatrics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Journal of women's health (2002)
|July 25, 2025
概括
医疗补助计划对孕前健康保险至关重要,它覆盖了许多分娩. 报名模式因年龄,种族和健康状况而异,这凸显了它对弱势群体的重要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 医疗补助保险覆盖了很大一部分美国的出生,约为40%.
- 了解怀孕前的医疗补助入学模式对于公共卫生倡议至关重要.
- 现有的数据缺乏详细描述出生前的医疗补助入学情况.
研究的目的:
- 描述医疗补助保险保险的出生前84个月的医疗补助入学模式.
- 确定与预孕期医疗补助入学时间和稳定性相关的因素.
- 为了检查医疗补助招生动态的州级变化.
主要方法:
- 使用医疗补助分析提取文件进行回顾性队列研究.
- 分析了30个州的944,068名2014年医疗补助保险分娩的个人.
- 线性回归用于评估入学月与人口,健康和州级因素之间的关联.
主要成果:
- 个体的医疗补助入学时间中位数为40.6个月,状态变化为3.2.
- 28%的人连续在医疗补助计划注册至少63个月.
- 年龄,种族/种族和慢性疾病 (高血压,糖尿病,心理健康) 与入学时间有显著的关联.
结论:
- 医疗补助计划 (Medicaid) 是孕前医疗保险的重要来源,用于医疗补助计划覆盖分娩的个人.
- 年轻人和患有慢性健康状况的人表现出更长的医疗补助入学时间.
- 招生模式和状态变化的州特定变化需要进一步调查.
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