在儿童医院住院后,儿童和护理人员的保险覆盖受到破坏
Erin F Carlton1,2,3, Rachel Parent4, Kao-Ping Chua2,3,5
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, Michigan.
Hospital pediatrics
|March 5, 2026
概括
儿童住院增加了儿童及其照顾者医疗保险覆盖范围中断的风险. 这种干扰在住院时间较长或保险护理人员较少的家庭中更为明显.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科健康 儿科健康
- 保险研究 保险研究
背景情况:
- 健康事件可能导致医疗保险覆盖的中断.
- 了解儿科住院对保险连续性的影响对于私人保险家庭至关重要.
研究的目的:
- 估计儿童住院和随后的医疗保险覆盖范围中断之间的关联.
- 分析孩子和照顾者的这种关联.
主要方法:
- 利用MarketScan商业数据库 (2016年7月至2022年6月) 识别住院和匹配非住院儿童 (0-17岁).
- 通过多变量逻辑回归,评估医疗保险覆盖在出院后6个月的中断情况.
- 根据停留时间,照顾者类型,性别和家庭保险结构进行了分组分析.
主要成果:
- 住院儿童 (增加1.3个百分点) 和他们的照顾者 (增加1.0个百分点) 与非住院对照者相比,经历了明显更高的保险覆盖中断率.
- 医院住院时间较长的儿童和只有一个保险照顾者的家庭中,保险中断的风险较高.
- 统计学意义得到证实,儿童和护理人员的P<.001.
结论:
- 儿童住院治疗是私人保险儿童及其家属医疗保险覆盖范围中断的一个重要风险因素.
- 这种干扰可能会影响最近住院的儿童获得护理的机会,特别是那些属于脆弱子组的儿童.
- 调查结果强调,需要制定战略,确保儿童住院后的保险连续性.
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