支付医生实践费用,鼓励医生为不同种族和种族群体服务
Aaron L Schwartz1,2,3,4, David A Asch1,2,3,5, Rachel M Werner1,2,3,4
1Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
与白人患者相比,医生实践对与黑人和西班牙裔患者进行访问的费用较低,这表明医疗保健报销的种族差异. 这些支付差距,特别是在儿科,可能会加剧现有的健康不平等.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 健康差距 研究 研究 研究 研究
背景情况:
- 在美国,医生补偿金因患者人口统计学而有很大差异,即使是相同的服务.
- 了解金融激励措施对于制定政策来减少与种族和种族有关的健康差异至关重要.
研究的目的:
- 测量医生诊所每次访问支付的种族和种族差异.
- 量化医疗保险和其他因素对这些支付差异的影响.
主要方法:
- 对门诊诊诊断 (2014-2021) 的全国代表性数据集的分析.
- 包括患者的种族/种族和支付数据,根据访问内容,地理位置和年份进行调整.
- 使用Kitagawa-Oaxaca-Blinder分解来分析支付差距.
主要成果:
- 与非西班牙裔白人患者相比,非西班牙裔黑人患者的医生诊所访问量减少8.8%,西班牙裔患者的诊所访问量减少9.8%.
- 支付差异在儿科最为明显 (黑人和西班牙裔儿童的支付差异比13%低).
- 保险来源部分解释了差异,这些差异在收费医疗保险的患者中不存在.
结论:
- 与非西班牙裔白人患者相比,美国医生在涉及非西班牙裔黑人和西班牙裔患者的门诊诊所的费用要低于非西班牙裔白人患者.
- 这些支付差异,特别是在儿科,可能受到保险类型的影响,并可能加剧健康不平等.
- 解决金融激励措施对于促进公平的医疗保健获取和质量至关重要.
更多相关视频
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
相关概念视频
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Standards of Care II
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,...
Standards of Care I
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
