Abramowitz Joelle, O'Hara Brett
U.S. Census Bureau, Washington, DC, USA
U.S. Census Bureau, Washington, DC, USA.
Med Care Res Rev. 2015 Apr;72(2):187-99. doi: 10.1177/1077558714563173. Epub 2014 Dec 18.
This article uses the 2013 Current Population Survey Annual Social and Economic Supplement to estimate the financial burden of medical out-of-pocket costs by comparing medical out-of-pocket expenditures to income. This measure is important for evaluating the magnitude of burden, better understanding who bears it, and establishing a baseline to assess the impact of the Patient Protection and Affordable Care Act. We examine the distribution of burden and the incidence of high burden across all families and by individuals' health insurance status and demographic and socioeconomic characteristics. We look more closely at one group vulnerable to having high burden: those younger than age 65 with incomes between 138% and 200% of the federal poverty line. We find that 18.5% of these individuals have incomes below the threshold of expansion Medicaid eligibility after accounting for non-over-the-counter medical expenses and examine the characteristics associated with being classified below this threshold.
本文利用2013年《当前人口调查年度社会和经济补充调查》，通过比较医疗自付费用与收入来估算医疗自付费用的经济负担。这一衡量标准对于评估负担的程度、更好地了解负担的承担者以及建立一个基线来评估《患者保护与平价医疗法案》的影响都很重要。我们研究了所有家庭的负担分布情况以及高负担的发生率，并按个人的医疗保险状况、人口统计学和社会经济特征进行了分析。我们更深入地研究了一个容易承受高负担的群体：那些年龄在65岁以下、收入在联邦贫困线的138%至200%之间的人。我们发现，在扣除非非处方药医疗费用后，这些人中18.5%的人的收入低于医疗补助资格扩大的门槛，并研究了与被归类在该门槛以下相关的特征。
