商业保险青少年的初级保健使用情况：来自 2018 年医疗保健效果数据和信息集的证据。
Primary Care Use Among Commercially Insured Adolescents: Evidence From the 2018 Healthcare Effectiveness Data and Information Set.
机构信息
National Center for Immunization Services and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Berry Technology Solutions, Peachtree City, Georgia.
出版信息
Am J Prev Med. 2021 Mar;60(3):411-414. doi: 10.1016/j.amepre.2020.09.013. Epub 2020 Nov 20.
INTRODUCTION
Improving the utilization of preventive care among adolescents is important for achieving individual-level and population-level health goals. The Healthcare Effectiveness Data and Information Set reports data submitted by managed care health plans, capturing a large number of individuals in the U.S.
METHODS
Using Healthcare Effectiveness Data and Information Set from 2018, mean performance levels were calculated for 5 preventive care measures among adolescents. Differences in performance between states that use Healthcare Effectiveness Data and Information Set or Health Plan Accreditation and those that use neither were estimated. Analysis was conducted in January-July 2020.
RESULTS
The sample included data from 39 states, with 32 that use Healthcare Effectiveness Data and Information Set or Health Plan Accreditation and 7 that do not. Adolescent vaccination coverage was 28% for the complete human papillomavirus series, 81% for meningococcal, and 88% for tetanus, diphtheria, and acellular pertussis. Access to a primary care practitioner (a 2-year measure) was 91%, and well-care visits (a 1-year measure) were 50%. When compared with states that do not use Healthcare Effectiveness Data and Information Set or Health Plan Accreditation, the mean performance of states that used either Healthcare Effectiveness Data and Information Set or Health Plan Accreditation was statistically significantly higher for 4 of the 5 assessed measures.
CONCLUSIONS
Healthcare Effectiveness Data and Information Set measures can help public health officials to monitor progress toward health goals, such as Healthy People 2020, and identify poorly performing health plans and types of preventive services in greatest need of improvement. States using Healthcare Effectiveness Data and Information Set or Health Plan Accreditation were associated with better performance in some adolescent measures, which suggests that health plan accountability may have a role in achieving health outcomes and could be an important area for future research.
简介
提高青少年预防保健的利用率对于实现个人和人群健康目标非常重要。医疗保健效果数据和信息集报告了管理式医疗保健计划提交的数据，这些数据涵盖了美国的大量人群。
方法
使用 2018 年的医疗保健效果数据和信息集，计算了 5 项青少年预防保健措施的平均绩效水平。比较了使用医疗保健效果数据和信息集或健康计划认证的州与既不使用也不使用的州之间的绩效差异。分析于 2020 年 1 月至 7 月进行。
结果
样本包括来自 39 个州的数据，其中 32 个州使用医疗保健效果数据和信息集或健康计划认证，7 个州不使用。青少年全程人乳头瘤病毒疫苗接种覆盖率为 28%，脑膜炎球菌疫苗接种率为 81%，破伤风、白喉和无细胞百日咳疫苗接种率为 88%。初级保健医生的可及性（两年期衡量指标）为 91%，常规保健就诊率（一年期衡量指标）为 50%。与不使用医疗保健效果数据和信息集或健康计划认证的州相比，使用医疗保健效果数据和信息集或健康计划认证的州在评估的 5 项措施中的 4 项上的平均表现都显著更高。
结论
医疗保健效果数据和信息集的衡量标准可以帮助公共卫生官员监测实现健康目标（如《健康人民 2020》）的进展情况，并识别绩效不佳的健康计划和最需要改进的预防服务类型。使用医疗保健效果数据和信息集或健康计划认证的州在某些青少年措施方面表现更好，这表明健康计划的问责制可能在实现健康结果方面发挥作用，这可能是未来研究的一个重要领域。
Zotero 插件