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疾病早期阶段的医疗补助计划登记:佐治亚州的《乳腺癌和宫颈癌防治法案》

Medicaid enrollment at early stage of disease: the Breast and Cervical Cancer Prevention and Treatment Act in Georgia.

作者信息

Chien Li-Nien, Adams E Kathleen, Yang Zhou

机构信息

School of Public Health, Taipei Medical University.

出版信息

Inquiry. 2011 Fall;48(3):197-208. doi: 10.5034/inquiryjrnl_48.03.02.

Abstract

This study linked data from the Georgia Comprehensive Cancer Registry to Medicaid enrollment and claims to test whether the Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA), which provided a new and quicker pathway to Medicaid eligibility for low-income breast cancer patients, led to more patients enrolling at an early stage of disease. Results based on difference-in-differences analysis indicated that Georgia's BCCPTA increased by 11 percentage points the probability of breast cancer patients enrolling in Medicaid at an early stage (p = .024). This effect could mean more treatment options and higher survival rates for these patients.

摘要

本研究将佐治亚州综合癌症登记处的数据与医疗补助登记和理赔数据相联系,以检验《乳腺癌和宫颈癌预防与治疗法案》(BCCPTA)是否使更多低收入乳腺癌患者在疾病早期阶段就加入医疗补助计划,该法案为低收入乳腺癌患者提供了一条新的、更快获得医疗补助资格的途径。基于差分分析的结果表明,佐治亚州的BCCPTA使乳腺癌患者在疾病早期加入医疗补助计划的概率提高了11个百分点(p = 0.024)。这种效果可能意味着这些患者有更多的治疗选择和更高的生存率。

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