医疗保险知识与健康状况之间的联系研究:来自美国医疗改革监测调查的证据。

IF 3.9 3区 医学 Q1 HEALTH POLICY & SERVICES Journal of Community Health Pub Date : 2024-10-05 DOI:10.1007/s10900-024-01407-9
Echu Liu, Alison Bach, Lionel Gumireddy, Joel Jihwan Hwang
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引用次数: 0

摘要

本研究利用医改监测调查(HRMS)2013 年至 2017 年期间 8 次波次的横截面数据,研究了医保素养(以理解医保术语的信心为指标)与健康状况之间的关系,共涉及 61895 人。采用有序逻辑回归模型,以五点李克特量表的自评健康状况为因变量,以理解医疗保险术语的信心得分为主要自变量。该模型对以下变量进行了调整:获得医疗服务的机会、保险状况、对导致错过医疗服务的负担能力的担忧、家庭规模、家庭收入、就业、教育、种族、婚姻状况和性别。结果表明,对了解医疗保险的信心越高,健康状况越好,两者之间存在正相关。这些发现强调了提高医疗保险知识普及率的重要性,并倡导采取潜在的政策干预措施,以提高公众对医疗保险福利和承保选择的了解。
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A Study of the Connection Between Health Insurance Literacy and Health Status: Evidence from the US Healthcare Reform Monitoring Survey.

This study examines the relationship between health insurance literacy, as indicated by confidence in comprehending health insurance terms, and health status using cross-sectional data from 8 waves of the Health Reform Monitoring Survey (HRMS), covering 61,895 individuals from 2013 to 2017. An ordered logistic regression model was employed with self-rated health status on a five-point Likert scale as the dependent variable and the score of confidence in understanding health insurance terms as the primary independent variable. The model adjusts for variables such as access to care, insurance status, concerns about affordability leading to missed care, household size, family income, employment, education, race, marital status, and gender. Results suggest a positive association between higher confidence in understanding health insurance and superior health statuses. These findings underscore the significance of improving health insurance literacy and advocating for potential policy interventions to enhance public understanding of health insurance benefits and coverage options.

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来源期刊
CiteScore
10.80
自引率
1.70%
发文量
113
期刊介绍: The Journal of Community Health is a peer-reviewed publication that offers original articles on research, teaching, and the practice of community health and public health. Coverage includes public health, epidemiology, preventive medicine, health promotion, disease prevention, environmental and occupational health, health policy and management, and health disparities. The Journal does not publish articles on clinical medicine. Serving as a forum for the exchange of ideas, the Journal features articles on research that serve the educational needs of public and community health personnel.
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