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《平价医疗法案》将如何影响医疗服务的使用?

How will the Affordable Care Act affect the use of health care services?

作者信息

Glied Sherry, Ma Stephanie

机构信息

Robert F. Wagner Graduate School of Public Service, New York University.

出版信息

Issue Brief (Commonw Fund). 2015 Feb;4:1-15.

Abstract

In January 2014, the Affordable Care Act extended access to health insurance coverage to an estimated 30 million previously uninsured people. This issue brief provides state-level estimates of the increased demand for physician and hospital services that is expected to result from expanded access and assesses the sufficiency of the existing supply of providers to accommodate the anticipated increase in demand. We project that primary care providers will see, on average, 1.34 additional office visits per week, accounting for a 3.8 percent increase in visits nationally. Hospital outpatient departments will see, on average, 1.2 to 11.0 additional visits per week, or an average increase of about 2.6 percent nationally. Increases of the magnitude likely to be generated by the Affordable Care Act will have modest effects on the demand for health services, and the existing supply of providers should be sufficient to accommodate this increased demand.

摘要

2014年1月,《平价医疗法案》将医疗保险覆盖范围扩大到约3000万此前未参保的人群。本问题简报提供了州一级对因医保覆盖范围扩大而预计增加的医生和医院服务需求的估计,并评估了现有医疗服务提供者的供应能否满足预期增加的需求。我们预计,初级医疗服务提供者平均每周将额外接待1.34次门诊,这在全国范围内占门诊量增长的3.8%。医院门诊部平均每周将额外接待1.2至11.0次门诊,在全国范围内平均增长约2.6%。《平价医疗法案》可能带来的这种规模的增长对医疗服务需求的影响不大,现有的医疗服务提供者供应应足以满足这一增加的需求。

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