一个短信宣传干预,以增加医疗保险注册人数的自我支付患者
Yan Lu1, Kevin J Craten1, Caitlin T Thompson1
1Center for Epidemiology & Healthcare Delivery Research, JPS Health Network, Fort Worth, TX.
Medical care
|July 29, 2025
概括
基于行为信息的短信增加了自支付患者在安全网医院离开急诊室的医疗保险入学率. 这种推广策略可以帮助更多没有保险的个人获得保险.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 公共卫生干预 公共卫生干预
背景情况:
- 自我支付的患者往往没有意识到是否有资格获得政府或医院的医疗援助计划.
- 紧急部门 (ED) 的访问提供了一个关键的机会,以将没有保险的患者与保险选项联系起来.
研究的目的:
- 评估行为知情短信宣传对自付患者在保险入学方面的影响,这些患者从安全网医院的ED出院.
- 评估这种干预措施在不同的人口群体 (包括种族和种族) 的有效性.
主要方法:
- 模拟了一个单臂试验与历史比较设计.
- 该研究包括18-64岁的自付ED患者,他们在特定的外展和历史比较期间出院.
- 使用平衡权重调整基线特征,并计算风险比率 (RR) 和风险差异 (RD).
主要成果:
- 外展组 (748名患者) 与历史组 (6199名患者) 相比,任何健康覆盖率的注册显著增加 (RR=1.4,RD=7.1%).
- 干预对整体招生产生了更大的影响,而不是对医院医疗援助计划和医疗补助计划的招生 (RR=1.2,RD=2.7%).
- 对医疗补助和医院计划入学的积极影响在西班牙裔人口中最为明显.
结论:
- 以行为为基础的短信宣传是一种有效的策略,可以促进自费患者在安全网医院的ED中获得医疗保险.
- 这种基于文本的方法可以补充现有的努力,扩大医疗保险覆盖范围.
- 建议进行进一步的研究,以探索和比较各种短信策略,以获得最佳影响.
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