在医疗补助计划注册者中,急性护理的利用因患者的乡村,种族和种族而异
Hannah Friedman1, Kristie Thompson2, Lily Wang3
1Center for Health Optimization and Implementation Research (CHOIR), Boston VA Healthcare System, Boston, MA.
Medical care
|December 8, 2025
概括
农村的医疗补助计划入学者通常使用较少的急性护理,并支付较低的费用. 然而,农村和种族/种族的差异表明特定的农村人口可能有更大的医疗保健需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村健康差异 农村健康差异
- 医疗补助政策 医疗补助政策
背景情况:
- 有限的研究存在于急性护理使用和全国农村医疗补助计划入学者的成本.
- 很少有研究探讨农村水平和种族/种族如何与该人口的医疗保健利用相互作用.
研究的目的:
- 为了比较医疗补助急性护理利用模式在不同水平的农村和种族/种族.
- 确定农村人口的潜在未满足的医疗保健需求或接受不充分的护理.
主要方法:
- 使用了2019年转换的医疗补助统计信息系统 (T-MSIS) 分析文件 (TAF) 数据.
- 分析了超过5000万名医疗补助计划注册人的住院,门诊和处方数据.
- 采用统计模型来评估农村,种族/族裔和医疗保健利用结果之间的关联.
主要成果:
- 农村医疗补助计划的入学者比城市入学者有较低的住院率 (12.6%-18.2%低) 和急诊室访问率 (11.0%低于偏远地区)
- 平均住院时间和每名员工的支出也较低的农村招生.
- 医疗保健利用率因种族/种族而异,西班牙裔入学者使用率最低.
结论:
- 农村医疗补助计划注册者通常表现出较低的急性护理利用率和支出.
- 根据农村和种族/种族的显著异质性突出了特定的农村子组,这些子组可能有更高的医疗保健需求.
- 调查结果强调了针对不同农村医疗补助计划人口的量身定制医疗保健策略的需要.
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