持续的医疗补助资格,儿童保险和医疗保健使用
Colleen L MacCallum-Bridges1, Lindsay K Admon1,2, Stephen W Patrick3,4,5,6
1Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
Pediatrics
|December 21, 2025
概括
持续的医疗补助资格减少了儿童医疗保险缺口和急诊室的访问. 这一政策特别有利于有特殊医疗需求的儿童,改善了他们的健康状况并减少了医疗保健的使用.
科学领域:
- 儿童健康政策 儿童健康政策
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 医疗保险差距在公共保险儿童中普遍存在,影响医疗保健和整体健康.
- COVID-19公共卫生紧急情况 (PHE) 导致医疗补助退学停止,创造了一个独特的机会来研究持续覆盖.
- 了解持续的医疗补助资格的影响对于改善儿童健康结果至关重要.
研究的目的:
- 评估持续的医疗补助资格对儿童医疗保险覆盖差距的影响.
- 评估持续的医疗补助资格对医疗保健获取和利用的影响.
- 检查持续的医疗补助资格和儿童的一般健康状况之间的关联.
主要方法:
- 利用了2016-2022年全国儿童健康调查 (n=182,910) 的数据.
- 采用差异差异方法来比较PHE前和期间的变化.
- 分析了医疗保险覆盖范围,未满足的医疗保健需求,医疗保健使用 (预防性护理,急救诊所) 和一般健康状况,并根据年龄和特殊医疗保健需求对子组进行了分析.
主要成果:
- 持续的医疗补助资格与医疗保险覆盖率差距减少3.1个百分点有关.
- 在公共保险儿童中,急诊室 (ED) 使用率减少3.9个百分点.
- 特殊医疗保健需求 (CSHCN) 的儿童在ED使用中出现了较大的下降 (-7.5个百分点),在优良的一般健康状况中增加了6.4个百分点.
结论:
- 确保持续的医疗补助资格的政策可以通过提供一致的覆盖来提高儿童的医疗保健使用和健康.
- 这些发现对于有特殊医疗需求的儿童 (CSHCN) 尤其重要.
- 持续的资格是改善弱势儿童健康公平和结果的有希望的战略.
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