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健康益处设计对不孕症患者的影响
Richard A Brook1, Sanghyuk Seo, Ian A Beren
1Better Health Worldwide, Inc, 18 Hirth Dr, Newfoundland, NJ 07435-1710.
The American journal of managed care
|August 19, 2025
概括
无育福利覆盖率显著增加了辅助生殖技术 (ART) 药物和程序的使用. 这导致更高的成功怀孕率和接受ART治疗的患者的改善结果.
科学领域:
- 生殖医学 生殖医学
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 不孕症影响着人口的很大一部分,需要像辅助生殖技术 (ART) 这样的治疗选择.
- ART的财务负担可能是进入障碍,突出了保险覆盖的重要性.
- 以前的研究还没有完全阐明全面的不孕不育福利覆盖对ART使用和结果的影响.
研究的目的:
- 评估不孕不育福利覆盖范围对ART使用的影响.
- 评估福利覆盖对接受ART的患者怀孕相关结果的影响.
- 解决有关保险设计与ART成功之间的关系的文献上的差距.
主要方法:
- 美国自保雇主的大型索赔数据库 (2010-2022) 的回顾性分析.
- 将女性 (18-42岁) 分类为高 (诊断和治疗覆盖) 或低 (仅诊断或没有覆盖) 福利队列.
- 对人口统计,工作相关和保险变量进行控制的后勤和阶段性回归分析.
主要成果:
- 具有全面不孕症覆盖率的妇女 (高队列) 与低队列相比,对ART药物和手术的使用率显著更高.
- 高队列表明更有可能实现怀孕 (69.6%vs65.3%).
- 在队列之间观察到的妊娠并发症的唯一统计学上显著的差异是Oligohydramnios.
结论:
- 包括不孕症治疗保险在内的健康福利计划与ART使用率的增加有关.
- 综合覆盖率导致更高的成功怀孕率.
- 福利设计在促进获得辅助生殖技术的机会和成功方面发挥着至关重要的作用.
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