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穷人的未参保时段:患病率与持续时间

Uninsured spells of the poor: prevalence and duration.

作者信息

McBride T D

机构信息

Department of Economics, University of Missouri-St. Louis 63121-4499, USA.

出版信息

Health Care Financ Rev. 1997 Fall;19(1):145-60.

PMID:10179996
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4194493/
Abstract

The number of persons without health insurance is increasing. Although research has focused on the uninsured poor and the duration of spells without health insurance, less attention has been paid to the dynamics of spells without health insurance among those in poverty. Here it is shown that the typical uninsured spell is longer for the uninsured poor (roughly 8.3 months) than for the uninsured non-poor (roughly 6 months) and that the duration of spells has increased over time. In addition, more than 40 percent of the uninsured at a point in time are chronically uninsured and poor or near-poor.

摘要

未参加医疗保险的人数正在增加。尽管研究主要关注未参保的贫困人口以及未参保的持续时间,但对于贫困人群中未参保情况的动态变化关注较少。研究表明,未参保的贫困人口的典型未参保时长(约8.3个月)比未参保的非贫困人口(约6个月)更长,且未参保时长随时间有所增加。此外,在某一时刻,超过40%的未参保者长期未参保且为贫困或接近贫困人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c819/4194493/9238ca8c2ee5/hcfr-19-1-145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c819/4194493/9238ca8c2ee5/hcfr-19-1-145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c819/4194493/9238ca8c2ee5/hcfr-19-1-145-g001.jpg

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本文引用的文献

1
Estimating the real number of chronically uninsured.
J Am Health Policy. 1994 Jul-Aug;4(4):16-20, 22-3.
2
Spells without health insurance: the distribution of durations when left-censored spells are included.没有医疗保险的时间段:纳入左删失时间段后的时长分布。
Inquiry. 1993 Spring;30(1):77-83.
3
Personal characteristics and spells without health insurance.个人特征与未参保情况
Inquiry. 1993 Spring;30(1):64-76.
《平价医疗法案》与高危农村地区、有药物使用问题的女性罪犯向社区过渡期间的保险覆盖范围及医疗保健来源变化
J Health Care Poor Underserved. 2018;29(3):843-863. doi: 10.1353/hpu.2018.0064.
4
Immigration status and health insurance coverage: who gains? Who loses?移民身份与医疗保险覆盖范围:谁受益?谁受损?
Am J Public Health. 2005 Jan;95(1):109-16. doi: 10.2105/AJPH.2003.028514.
5
Counting the uninsured using state-level hospitalization data.利用州级住院数据统计未参保人数。
Public Health Rep. 1999 Mar-Apr;114(2):149-56. doi: 10.1093/phr/114.2.149.
4
Dynamics of people without health insurance. Don't let the numbers fool you.未参保人群的动态变化。别被这些数字误导了。
JAMA. 1994 Jan 5;271(1):64-6.
5
Spells without health insurance: distributions of durations and their link to point-in-time estimates of the uninsured.无医疗保险的时间段:持续时间分布及其与未参保时间点估计值的关联。
Inquiry. 1990 Fall;27(3):281-8.
6
Who pays for health care in the United States? Implications for health system reform.在美国,谁为医疗保健买单?对医疗体系改革的影响。
Inquiry. 1992 Summer;29(2):231-48.