慢性疾病和医疗保健成本和利用率在服务不足的医疗保险受益者中
Karen Fredriksen Goldsen1, Hyun-Jun Kim1, Natalie R Turner1
1Goldsen Institute, School of Social Work, University of Washington, Seattle, Washington, United States of America.
PloS one
|February 26, 2026
概括
性和性别少数群体 (SGM) 具有复杂慢性疾病的老年人承担更高的医疗保险支出和医疗保健利用率. 歧视与更复杂的条件但更低的支出有关,突出了差异.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 缺乏服务的老年人,包括性和性别少数群体 (SGM) 个人,面临更高的慢性疾病和多病症风险.
- 有限的研究存在于SGM老年成人医疗保险受益人的医疗保健支出和利用模式.
- 这项研究解决了理解这一弱势群体的健康经济学的关键差距.
研究的目的:
- 检查慢性疾病,医疗保健支出,以及各种SGM老年人医疗保险受益人的利用情况.
- 确定与医疗保健成本和服务使用相关的因素.
- 为健康老龄化提供响应性卫生服务和干预措施的发展提供信息.
主要方法:
- 来自"自豪地老龄化:国家健康,老龄化和性/性别研究" (NHAS) 和CMS慢性病仓库 (n=902) 的相关数据.
- 分析慢性病的复杂性,不良经历,心理社会资源,健康指标,社会经济因素和背景特征.
- 线性回归和后勤回归用于评估解释变量与Medicare支出/医疗保健利用结果之间的关联.
主要成果:
- 具有较高慢性疾病严重程度和复杂性的SGM老年人显示,医疗保险总支出,医生服务支出和医疗保健利用率显著增加.
- 更高的医疗保险支出与残疾和双重资格密切相关.
- 增加的日常歧视与更大的慢性疾病复杂性相关,但矛盾的是,医疗保险支出更低.
结论:
- 在SGM老年人中,复杂的慢性疾病与医疗保健成本和利用率的增加有关.
- 残疾和双重资格是这一人口群体中医疗保险支出的主要驱动因素.
- 歧视构成一个重大障碍,可能导致服务利用不足,尽管有更高的健康需求,需要有针对性的干预措施.
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