a University of Maryland School of Social Work.
Soc Work Public Health. 2019;34(2):176-188. doi: 10.1080/19371918.2019.1575310. Epub 2019 Feb 15.
Over a decade ago, Health Savings Accounts (HSAs) were deemed contrary to social work values, leading to greater inequality in access to health care. Using data from the 2015 National Health Interview Survey (NHIS) (n= 12,265), we examine whether HSA ownership is associated with unmet need for health care due to cost (financial barrier). HSA ownership was significantly associated with reduced financial barriers to health care (p< .001) in the regression model. Owning an HSA may be related to reducing financial barriers to health care access, which could inform improvements in HSA policy provisions for social work practice.
十多年前，健康储蓄账户（HSAs）被认为违背社会工作价值观，导致获得医疗保健的机会更加不平等。本研究使用 2015 年全国健康访谈调查（NHIS）的数据（n=12265），考察 HSA 拥有情况是否与因费用（经济障碍）导致的未满足的医疗保健需求相关。在回归模型中，HSA 拥有情况与医疗保健的经济障碍显著降低相关（p<0.001）。拥有 HSA 可能与降低获得医疗保健的经济障碍有关，这可为改进 HSA 政策规定以促进社会工作实践提供信息。
