亲密伴侣对女性的暴力行为：受害者给健康保险计划带来的成本更高吗？
Intimate partner violence against women: do victims cost health plans more?
作者信息
Wisner C L, Gilmer T P, Saltzman L E, Zink T M
机构信息
Health Care Services Research Department, Smith Kline Beecham, Bloomington, MN, USA.
出版信息
J Fam Pract. 1999 Jun;48(6):439-43.
BACKGROUND
Previous studies of intimate partner violence have not compared the health care costs of female victims with those of a general female population.
METHODS
Our study is an analysis of the computerized cost data for 126 identified victims of intimate partner violence in a large health plan in Minneapolis and St. Paul, Minnesota, in 1994. Data were compared with a random sample of 1007 general female enrollees (aged 18 to 64 years) who used health care services in the same year.
RESULTS
We found that an annual difference of $1775 more was spent for victims of intimate partner violence than on a random sample of general female enrollees. Regression analyses found that victims of intimate partner violence were significantly younger and had more hospitalizations, general clinic use, mental health services use, and out-of-plan referrals. Use of emergency room services was the same across groups.
CONCLUSIONS
Women who were victims of intimate partner violence cost this health plan approximately 92% more than a random sample of general female enrollees. Contrary to the findings of other studies, use of emergency room services was not a driving factor in the higher costs. Findings of significantly higher mental health service use are supported by other studies.
背景
以往关于亲密伴侣暴力的研究未对女性受害者的医疗保健费用与普通女性人群的医疗保健费用进行比较。
方法
我们的研究分析了1994年明尼苏达州明尼阿波利斯和圣保罗市一个大型健康计划中126名已确认的亲密伴侣暴力受害者的计算机化成本数据。将这些数据与同年使用医疗保健服务的1007名普通女性参保者（年龄在18至64岁之间）的随机样本进行比较。
结果
我们发现，亲密伴侣暴力受害者的年度花费比普通女性参保者随机样本多1775美元。回归分析发现，亲密伴侣暴力受害者明显更年轻，住院次数更多，使用普通诊所、心理健康服务以及计划外转诊的频率更高。各群体使用急诊室服务的情况相同。
结论
亲密伴侣暴力受害者给该健康计划造成的花费比普通女性参保者随机样本高出约92%。与其他研究结果相反，急诊室服务的使用并非成本较高的驱动因素。心理健康服务使用显著增加的结果得到了其他研究的支持。
Zotero 插件