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平价医疗法案实施前后美国有自付费用的儿童保健就诊趋势。

Trends in Well-Child Visits With Out-of-Pocket Costs in the US Before and After the Affordable Care Act.

机构信息

Department of Health Law, Policy, and Management, School of Public Health, Boston University, Boston, Massachusetts.

Department of Economics, College of Arts and Sciences, Boston University, Boston, Massachusetts.

出版信息

JAMA Netw Open. 2021 Mar 1;4(3):e211248. doi: 10.1001/jamanetworkopen.2021.1248.

DOI:10.1001/jamanetworkopen.2021.1248
PMID:33710285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7955268/
Abstract

This cross-sectional study uses national claims data to assess trends in well-child care visits with out-of-pocket costs before and after passage of the Affordable Care Act.

摘要

这项横断面研究利用国家索赔数据，评估《平价医疗法案》通过前后，自费进行儿童常规健康检查的趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2365/7955268/e54d2fa57bfa/jamanetwopen-e211248-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2365/7955268/e54d2fa57bfa/jamanetwopen-e211248-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2365/7955268/e54d2fa57bfa/jamanetwopen-e211248-g001.jpg

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本文引用的文献

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Inequities in Insurance Coverage and Well-Child Visits Improve, but Insurance Gains for White and Black Youth Reverse.保险覆盖范围和儿童健康检查方面的不平等现象有所改善，但白人和黑人青少年的保险收益出现逆转。
Acad Pediatr. 2020 Jan-Feb;20(1):14-15. doi: 10.1016/j.acap.2019.08.005. Epub 2019 Aug 9.
2
The ACA's Zero Cost-Sharing Mandate and Trends in Out-of-Pocket Expenditures on Well-Child and Screening Mammography Visits.《平价医疗法案》的零费用分担规定以及儿童健康检查和乳腺钼靶筛查门诊自付费用的趋势。
Med Care. 2016 Dec;54(12):1056-1062. doi: 10.1097/MLR.0000000000000610.
3
2015 Recommendations for Preventive Pediatric Health Care Committee on Practice and Ambulatory Medicine and Bright Futures Periodicity Schedule Workgroup.
2015年预防性儿童保健建议 实践与门诊医学委员会及光明未来定期检查表工作组
Pediatrics. 2015 Sep;136(3):e727. doi: 10.1542/peds.2015-2009. Epub 2015 Aug 31.