2000年至21年,SSDI受益者在医疗保险的2年等待期内死亡率较高
David Powell1, Seth Hartig2, Mireille Jacobson3
1David Powell (david.powell@pennmedicine.upenn.edu), University of Pennsylvania, Philadelphia, Pennsylvania.
Health affairs (Project Hope)
|March 2, 2026
概括
社会保障残疾人保险 (SSDI) 受益人群的24个月死亡率高于一般人群. 这一比例在癌症患者中特别高,自2011年以来一直在增加,这突显了癌症患者的脆弱性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
背景情况:
- 大多数社会保障残疾保险 (SSDI) 受益人面临两年的等待医疗保险.
- 在此期间缺乏医疗保险可能会产生严重后果.
- 目前对某些子群体存在豁免,并计划在2025年扩大.
研究的目的:
- 分析在医疗保险等待期间SSDI受益人的24个月死亡率.
- 将SSDI受益者死亡率与一般人口进行比较.
- 检查根据年龄,初级障碍和时间趋势的变化.
主要方法:
- 对2000-2019年社会保障管理局数据的描述性分析.
- 在SSDI受益人群中检查24个月死亡率.
- 与年龄调整后的一般人口死亡率进行比较.
主要成果:
- 2019年,SSDI受益者的24个月死亡率为5.96%,而一般人口的死亡率为1.25%.
- 在患有瘤的受益者中,死亡率最高 (39.3%).
- 自2011年以来,SSDI受益人的死亡率有所增加.
结论:
- 在医疗保险等待期间,SSDI受益人群表现出显著的脆弱性.
- 死亡率的上升反映了受益人群和损伤的变化.
- 这些发现支持扩大医疗保险等待期豁免的政策考虑.
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