缩小差距:改善无保险和保险不足人群结直肠外科护理的方法

IF 1.2 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Clinics in Colon and Rectal Surgery Pub Date : 2024-05-15 DOI:10.1055/s-0044-1786398
Erin Isenberg, Calista Harbaugh
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引用次数: 0

摘要

在美国,医疗保险在获取和提供医疗服务方面发挥着至关重要的作用。作为唯一一个没有全民医保的工业化国家,没有足够保险的美国人(即未投保或投保不足的人)在获得必要的医疗服务方面面临着重重障碍。在这篇文章中,我们回顾了保险不足导致常见良性和恶性结直肠病变患者临床治疗效果变差的机制。然后,我们讨论了几种基于证据的解决方案,以改善这些患者获得最佳结直肠护理的机会。这些方案包括提高医疗保险的可及性和可负担性、缩小不同投保人群之间的差距、加强医疗安全网以及为无保险和保险不足的人群量身定制外展和临床决策。通过探讨保险覆盖面不足的细微差别和影响,我们最终将寻求在保险设计和政策领域突出未来研究和宣传的关键机会。
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Closing the Gap: Approaches to Improving Colorectal Surgery Care for the Uninsured and Underinsured

Health insurance plays a critical role in access to and delivery of health care in the United States. As the only industrialized nation without universal health coverage, Americans without adequate insurance (i.e., uninsured or underinsured individuals) face numerous obstacles to obtaining necessary health care. In this article, we review the mechanisms by which inadequate insurance leads to worse clinical outcomes in patients with common benign and malignant colorectal pathologies. We then discuss several evidence-based solutions for improving access to optimal colorectal care for these patients. These include increasing access to and affordability of health insurance, mitigating disparities between differently insured populations, strengthening the health care safety net, and tailoring outreach and clinical decision-making for the uninsured and underinsured. By exploring the nuance and impact of inadequate insurance coverage, we ultimately seek to highlight critical opportunities for future research and advocacy within the realm of insurance design and policy.

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来源期刊
Clinics in Colon and Rectal Surgery
Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY
CiteScore
2.60
自引率
7.10%
发文量
84
期刊介绍: Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.
期刊最新文献
Corrigendum: Current Position of Sacral Neuromodulation in Treatment of Fecal Incontinence. Current Trends in the Management of a Complex Polyp: Endoscopy versus Surgery Hereditary Colorectal Cancer: From Diagnosis to Surgical Options The Young: Early-Onset Colon Cancer The Old: Is There Any Role for Screening Colonoscopy after the Age of 75? The Surgeon's Perspective
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