在日本,公共援助受益者和医疗服务使用者没有成本共享
Chihiro Shiota1, Kenji Takeuchi1,2, Taro Kusama1,2
1Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Miyagi, Japan.
日本的公共援助 (PA) 认证显著增加了门诊医疗和牙科护理的利用率,特别是牙科服务. 消除成本共享改善了低收入人群的获取机会,但可能需要策略来管理潜在的过度使用.
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
- 卫生经济学 卫生经济学
背景情况:
- 日本的公共援助 (PA) 系统为低收入人群提供全面的医疗援助,没有成本共享.
- 了解PA认证对医疗保健利用的影响对于政策评估至关重要.
研究的目的:
- 分析个人在获得公共援助认证之前和之后在门诊医疗和牙科护理使用情况的变化.
- 量化消除医疗保健成本共享对服务使用模式的影响.
主要方法:
- 长度研究使用来自日本市的2017-2022年数据.
- 使用了通用估计方程和中断时间序列分析 (ITSA).
- 分析包括2893名从国民健康保险转换为PA的成年人,检查1年前后证书.
主要成果:
- 门诊医疗保健支出从每月的16,565日元增加到认证后的22,442日元.
- 门诊牙科护理费用从每月1727日元上升到认证后的3978日元.
- 据ITSA显示,在PA认证后,医疗和牙科护理支出立即大幅增加.
结论:
- 在公共援助系统下取消成本共享与增加门诊医疗利用有关,特别是在牙科服务中.
- 调查结果强调了金融障碍在低收入人群获得医疗保健方面的作用.
- 虽然无成本政策提高了访问,但它们可能需要补充措施来解决潜在的过度使用问题.
更多相关视频
03:49Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation
Published on: October 11, 2024
05:58Digital Polymerase Chain Reaction Assay for the Genetic Variation in a Sporadic Familial Adenomatous Polyposis Patient Using the Chip-in-a-tube Format
Published on: August 20, 2018
相关概念视频
Preventive Healthcare Services
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Secondary Healthcare System
Traditional Level Of Health Care System
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Healthcare Agencies II
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
