通过健康计划质量指数解决医疗保健差异
Joseph A Stankaitis1, Samyukta Singh, Sean Nicholson
1Cornell University Brooks School of Public Policy, 24 Hiram Way, Honeoye Falls, NY 14472.
一个新的健康保险差异指数 (HeIDI) 显示,从2017年到2022年,商业保险和医疗补助患者之间的医疗保健差异正在恶化. 该指数突出显示,特别是在COVID-19疫情期间,情况明显恶化.
科学领域:
- 医疗服务研究
- 健康经济学
- 公共卫生政策
背景情况:
- 医疗保健的差异仍然存在,不成比例地影响着社会经济地位较低的个人.
- 保险类型,特别是商业/私人与医疗补助,是社会经济差异的重要标志.
- 衡量解决这些差异的进展需要基于数据的强有力的指数.
研究的目的:
- 利用公开可用的数据开发一个新的指数,以量化解决医疗保健差异的进展.
- 建立一个指标来追踪医疗保健质量差异的变化.
- 创建一个评估健康计划和系统表现的工具.
主要方法:
- 根据预先定义的标准选择了一组医疗保健有效性数据和信息集 (HEDIS) 的指标.
- 商业/私人保险和医疗补助管理的全国平均绩效数据来自国家质量保证委员会.
- 两个保险集团之间的HEDIS测量差异被汇总成健康保险差异指数 (HeIDI).
主要成果:
- 在2017年至2022年间,国家医疗保健差异逐渐增加.
- 在COVID-19大流行期间和之后,这些差异明显恶化.
- 根据保险类型,该指数提供了医疗质量差距的量化衡量.
结论:
- 根据保险类型分层,HeIDI是评估影响较低社会经济地位人口的医疗保健差异的宝贵工具.
- 它可以使用经过验证的HEDIS数据对健康计划,州,地区和卫生系统进行绩效评估.
- 该指数的发现强调需要有针对性的干预措施来缓解健康公平的恶化.
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