在高扣除健康计划注册后,糖尿病诊断的延迟:对照前后研究
Felippe Ottoni Marcondes1, Fang Zhang2, Dennis Ross-Degnan2
1Division of General Internal Medicine, Massachusetts General Hospital, 100 Cambridge St, Suite 1600, 02114, Boston, MA, USA. fmarcondes@mgh.harvard.edu.
Journal of general internal medicine
|August 29, 2025
概括
高扣除健康计划 (HDHP) 与延迟糖尿病诊断和增加医疗费用有关. 患有HDHP的妇女可能面临更高的风险,强调需要减少诊断的自付费用.
科学领域:
- 健康经济学
- 公共卫生
- 糖尿病研究
背景情况:
- 高扣除的健康计划 (HDHP) 给会员带来了大量的自付费用 (OOP) 以获得基本的医疗服务.
- 这些经济障碍可能会影响及时诊断心脏代谢疾病,包括糖尿病.
研究的目的:
- 研究HDHP与糖尿病诊断延迟之间的关联.
- 与对照组相比,研究HDHP会员新诊断糖尿病的医疗费用变化.
主要方法:
- 使用分段生存和预后与对照组设计.
- 分析了346,492名HDHP成员和年龄在18-64岁之间的对照组的数据.
- 糖尿病诊断的时间和诊断前的医疗费用 (总和OOP).
主要成果:
- 与对照组相比,HDHP招生与延迟糖尿病诊断 (1.7-2.1个月长) 有关.
- 女性HDHP成员在诊断方面出现了显著的延迟.
- 新诊断的糖尿病患者的OOP医疗费用增加了20%,增加了51%.
结论:
- 登记HDHP与延迟糖尿病诊断和增加医疗费用有关.
- 女性HDHP会员的诊断延迟和成本增加的风险似乎较高.
- 有必要采取政策措施降低糖尿病诊断服务的开放式诊断费用.
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