医疗补助入学的结构性决定因素在生命晚期
1Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.
概括
国家政策和种族态度影响老年人的医疗补助入学率. 更高的医疗补助慷慨增加了入学率,而种族怨恨则减少了入学率,特别是在年轻人,少数民族和低收入人群中.
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
- 卫生社会学 卫生社会学
背景情况:
- 老年人的医疗补助入学受到社会经济因素和州级政策的影响.
- 种族化的公众论和政策慷慨可能会在不同的老年人群中对医疗保健的获取产生不同的影响.
研究的目的:
- 调查国家政策背景和种族化的公众论如何与50岁及以上成年人中的医疗补助入学有关.
- 检查这些协会在不同的社会位置,包括年龄,种族和收入.
主要方法:
- 利用了多层次的逻辑回归模型,使用了来自健康和退休调查 (HRS) 10 波数据.
- 纳入医疗补助慷慨指数 (MGI) 和种族怨恨 (RR) 分数作为州级预测指标.
- 进行了年龄和种族分层分析,以探索入学概率的变化.
主要成果:
- 较高的MGI与50-64岁成年人的医疗补助入学概率增加相关.
- 较高的RR与所有人口群体的入学概率较低有关.
- 与同行相比,MGI和RR都显示了年轻成年人 (50-64岁),种族少数群体和低收入人群的更强烈关联.
结论:
- 医疗补助入学受到收入的影响,也受到政策和政治背景的影响,在社会群体之间产生不同的影响.
- 虽然低收入的种族少数群体在医疗补助计划中受到不成比例的覆盖,但从公平的州级实施中获益最大.
- 需要采取政策干预措施,以减轻种族化政治对边缘化群体获得医疗补助的影响,并促进晚年健康公平.
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