手术后的经济困难 手术后的经济困难
Alexandra Hernandez1, Nina M Clark1, Jamie Olapo1
1Department of Surgery, University of Washington, Seattle.
JAMA surgery
|November 19, 2025
概括
外科手术显著增加了成年人工作年龄的经济困难,特别是没有保险和私人保险的人. 医疗补助计划的覆盖似乎减轻了这种财务负担,强调了手术患者可获得的保险的重要性.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 外科手术的结果
背景情况:
- 负担得起的外科护理是美国的一个重大挑战.
- 与手术相关的财务困难在全国范围内并未得到充分理解.
研究的目的:
- 评估美国劳动年龄成年人手术手术和经济困难之间的联系.
- 为了比较选择性与紧急手术后的财务困难变化.
- 检查保险支付人和收入水平的困难差异.
主要方法:
- 使用医学支出小组调查 (MEPS) 数据 (2014-2021) 的回顾性队列研究.
- 将手术患者 (18-64岁) 与非手术对照进行了匹配.
- 分析了手术后的财务困难和自付费用.
主要成果:
- 37.9%的手术患者在一年内面临经济困难.
- 手术增加了5.4个百分点的财务困难 (16%的相对增长).
- 无保险 (23.7个百分比) 和私人保险 (8.4个百分比) 患者的病率显著增加;医疗补助患者没有显著变化.
结论:
- 外科手术与工作年龄的成年人存在相当大的经济困难有关.
- 紧急手术和缺乏保险加剧了财务压力.
- 医疗补助保护表明对金融风险保护的政策影响.
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