[补贴医疗保险对哥伦比亚麦德林市宫颈细胞学检查可及性的影响]
[The impact of subsidized healthcare insurance on access to cervical cytology in Medellin, Colombia].
作者信息
Atehortúa Sara C, Palacio-Mejía Lina S
机构信息
Departamento de Economía, Universidad de Antioquia, Medellín, Colombia,
Instituto Nacional de Salud Pública de México (INSP), Cuernavaca, México,
出版信息
Rev Salud Publica (Bogota). 2014 Jul-Aug;16(4):522-33.
OBJECTIVE
Assessing the impact of subsidized healthcare insurance on access to cervical cytology in Medellin, Colombia.
MATERIALS AND METHODS
Propensity score matching (PSM) was used with 2008 Life Quality Survey in Colombia figures to obtain a control group comparable to a treatment group. This involved using stratification estimates, the k-nearest-neighbor algorithm and kernel density for calculating impact size
RESULTS
Access to cytology for 19 to 49 year-old women having subsidized healthcare insurance were 2.2 % to 2.9 % lower compared to women who did not have any healthcare insurance. Estimates were not statistically significant for women over 50 years-old.
DISCUSSION
Women lacking healthcare insurance having increased access to cytology could be explained by charities or social programs aiding the population lacking healthcare insurance.
目的
评估哥伦比亚麦德林市补贴医疗保险对子宫颈细胞学检查可及性的影响。
材料与方法
运用倾向得分匹配法（PSM）和2008年哥伦比亚生活质量调查数据，以获得与治疗组可比的对照组。这包括使用分层估计、k近邻算法和核密度来计算影响大小。
结果
与没有任何医疗保险的女性相比，拥有补贴医疗保险的19至49岁女性进行细胞学检查的比例低2.2%至2.9%。对于50岁以上的女性，该估计无统计学意义。
讨论
缺乏医疗保险的女性进行细胞学检查的可及性增加，这可能是由于慈善机构或社会项目对缺乏医疗保险的人群提供了帮助。
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