University of Iowa, Iowa City, IA, USA.
J Arthroplasty. 2012 Dec;27(10):1761-1765.e1. doi: 10.1016/j.arth.2012.06.007. Epub 2012 Aug 3.
Little is known about how patient characteristics differ between insurance types. We reviewed 293 consecutive primary total joint arthroplasty patients with 12-month follow-up and stratified them based on insurance type. As compared with patients with either Medicare or private insurance, Medicaid patients traveled an extra 160 to 170 miles for access to care, both Iowa Care and Medicaid were more than 3 times more likely to be current smokers, and both Iowa Care and Medicaid had lower preoperative and 12-month postoperative 36-Item Short Form Health Survey and WOMAC outcomes scores. Payer type was a significant predictor of 36-Item Short Form Health Survey physical function at final follow-up in a multivariate analysis. Significant disparities exist between patients with different insurance payer types in total joint arthroplasty, and further research into these differences is necessary.
关于不同保险类型的患者特征有何不同，我们知之甚少。我们回顾了 293 例连续的原发性全关节置换术患者，随访 12 个月，并根据保险类型对其进行分层。与拥有医疗保险或私人保险的患者相比，医疗补助患者为获得治疗需要多行驶 160 至 170 英里，爱荷华保健和医疗补助的当前吸烟者比例均超过 3 倍，并且术前和 12 个月术后的 36 项简短健康调查和 WOMAC 结果评分均较低。在多变量分析中，支付类型是最终随访时 36 项简短健康调查身体功能的重要预测因素。在全关节置换术患者中，不同保险支付类型之间存在显著差异，需要进一步研究这些差异。
