美国保险覆盖范围从25岁到37岁的轨迹的序列分析
Adrianne Frech1, Gwendolyn Richner1, Dmitry Tumin2
1Ohio University Heritage College of Osteopathic Medicine, Warrensville Heights, USA.
Medical care research and review : MCRR
|December 31, 2025
概括
许多成年人经历了不稳定的医疗保险覆盖,近一半的人面临着反复出现的无保险. 这种长期的覆盖不稳定不成比例地影响弱势群体,影响医疗保健的获取.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保险缺口和无保险时期与减少医疗保健使用,治疗不良遵守和工作限制有关.
- 对于整个成年期健康保险覆盖的长期模式的理解有限.
研究的目的:
- 识别和描述从早期到中年健康保险覆盖的不同轨迹.
- 量化这些轨迹中不保险的持续时间和模式.
- 检查长期保险覆盖稳定的人口和社会经济差异.
主要方法:
- 在全国代表性队列研究数据集上利用序列分析.
- 追踪了25至37岁的个人健康保险覆盖状态.
- 将参与者分类为不同的覆盖轨迹组.
主要成果:
- 确定了三个主要的保险轨迹:稳定的私人保险 (40%),稳定的公共保险 (16%),和经常性的无保险 (44%).
- 经常没有保险的人平均经历了5.2年没有保险.
- 在男性,黑人/西班牙裔个人,兼职工人,健康状况较差的人以及美国南部/西部的居民中,反复出现的无保险更为普遍.
结论:
- 长期和周期性的无保险是年轻成年人的常见经历.
- 处境不利的人群更容易出现反复出现的无保险,这突出了严重的健康公平问题.
- 对保险状况的横截面分析可能会低估长期保险不稳定性,这可能会阻碍有效的干预.
相关概念视频
Actuarial Approach
276
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
276
Longitudinal Research
13.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.0K
Applications of Life Tables
309
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
309
Cross-Sectional Research
12.3K
In cross-sectional research, a researcher compares multiple segments of the population at the same time. If they were interested in people's dietary habits, the researcher might directly compare different groups of people by age. Instead of following a group of people for 20 years to see how their dietary habits changed from decade to decade, the researcher would study a group of 20-year-old individuals and compare them to a group of 30-year-old individuals and a group of 40-year-old...
12.3K
Life Histories
22.4K
Overview
22.4K
Introduction To Survival Analysis
710
Survival analysis is a statistical method used to study time-to-event data, where the "event" might represent outcomes like death, disease relapse, system failure, or recovery. A unique feature of survival data is censoring, which occurs when the event of interest has not been observed for some individuals during the study period. This requires specialized techniques to handle incomplete data effectively.
The primary goal of survival analysis is to estimate survival time—the time...
The primary goal of survival analysis is to estimate survival time—the time...
710


