波动的州医疗补助牙科覆盖:福利削减和扩展的不对称影响,2010-21年
Hawazin W Elani1, Benjamin D Sommers2, Ichiro Kawachi3
1Hawazin W. Elani (Hawazin_Elani@hsdm.harvard.edu), Harvard University, Boston, Massachusetts.
Health affairs (Project Hope)
|February 2, 2026
概括
医疗补助成年人牙科保险的波动会影响到医疗补助的获取. 删除福利增加了无保险和减少了访问,同时增加福利改善了访问,但也增加了牙.
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
- 牙科公共卫生 公共卫生
背景情况:
- 医疗补助成人牙科保险是一种可选的福利,由于国家预算的限制,经常会改变.
- 这些政策变化对牙科服务获取的影响仍然不太清楚.
研究的目的:
- 分析删除和添加Medicaid成人牙科福利对牙科护理准入和结果的影响.
- 专注于年龄在50-64岁的成年人,收入在联邦贫困线或以下.
主要方法:
- 利用了2010-2021年健康和退休研究的数据.
- 采用动态差异事件研究方法来评估政策变化.
主要成果:
- 福利取消与更高的牙科无保险 (+60.1个百分点),更多的自费支出 (+20.2个百分点) 和更少的牙医访问 (-37.4个百分点) 相关联.
- 福利扩大导致牙科不保险减少 (-40.7个百分点),自费支出减少 (-36.5个百分点),牙科诊疗增加 (+22.1个百分点).
- 这两种政策转变都增加了对牙医保险的不认识,并产生了长达八年的持续影响,对牙科病的影响各不相同.
结论:
- 医疗补助牙科政策的变化对牙科护理的获得和结果有重大和持久的影响.
- 稳定的医疗补助成年人牙科覆盖非常重要,尤其是在讨论潜在的医疗补助资金削减的情况下.
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