在怀孕期间增加医疗补助资格对医疗补助利用和妊娠年龄的影响
Nicolas P Goldstein Novick1, Peter J Veazie2, Elaine L Hill2
1Division of Neonatology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
扩大高收入人群在怀孕期间获得医疗补助的资格,增加了医疗补助覆盖范围,减少了无保险. 然而,它没有显著影响出生时的妊娠年龄 (GAb).
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 孕产妇和儿童的健康
背景情况:
- 医疗补助资格扩大旨在改善孕妇获得护理的机会.
- 了解对支付来源和出生结果的影响对于政策评估至关重要.
研究的目的:
- 评估怀孕期间医疗补助收入资格的增加如何影响产前护理和分娩支付来源.
- 评估对出生时妊娠年龄 (GAb) 的影响.
主要方法:
- 采用了一种准实验性的差异差异研究设计.
- 分析了2007-2010年的数据,使用多项逻辑回归.
- 这项研究比较了医疗补助资格增加的州与控制州,利用CDC PRAMS数据.
主要成果:
- 在高收入国家 (威斯康星州-密歇根州) 增加了医疗补助资格,大大提高了医疗补助对产前护理和分娩的覆盖率.
- 在这两年间,私人保险和自我支付减少了.
- 在这两种双中,没有观察到对出生时妊娠年龄 (GAb) 的统计学显著影响.
结论:
- 扩大高收入人群在怀孕期间获得医疗补助的资格可以改善保险覆盖范围,但并没有明显影响GAb.
- 医疗补助政策应该旨在减少无保险,同时战略性地将资源分配给高风险人群.
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