Callison Kevin, Ward Jason
Kevin Callison (
Jason Ward is an associate economist at the RAND Corporation in Santa Monica, California.
Health Aff (Millwood). 2021 May;40(5):837-843. doi: 10.1377/hlthaff.2021.00101. Epub 2021 Apr 21.
The COVID-19 pandemic has disrupted access to medical care for millions of Americans, yet information on the individual characteristics associated with these disruptions is lacking. We used recently released data from the Current Population Survey's supplemental COVID-19 questions to provide the first evidence on associations between individual characteristics, including age, sex, race/ethnicity, education, health status, work-limiting disabilities, health insurance coverage, and employment, and the propensity to experience an involuntary care disruption resulting from the COVID-19 pandemic. is defined as delayed or cancelled care that was not initiated by the patient. Results indicate that older age, being in fair or poor health, greater education, and having health insurance coverage were associated with greater likelihood of experiencing an involuntary delay in accessing medical care. In addition, White, non-Hispanic respondents had higher rates of involuntary care delays than respondents of other races/ethnicities. Our findings provide useful guidance for researchers examining the health consequences of COVID-19-related care disruptions and for policy makers developing tools to offset the potential harms of such disruptions.
新冠疫情扰乱了数百万美国人获得医疗服务的机会,但缺乏与这些干扰相关的个体特征信息。我们利用当前人口调查补充的新冠问题中最近公布的数据,首次提供了关于个体特征(包括年龄、性别、种族/族裔、教育程度、健康状况、限制工作的残疾、医疗保险覆盖范围和就业情况)与因新冠疫情导致非自愿医疗中断倾向之间关联的证据。非自愿医疗中断被定义为不是由患者发起的延迟或取消的医疗服务。结果表明,年龄较大、健康状况一般或较差、受教育程度较高以及拥有医疗保险与非自愿延迟获得医疗服务的可能性较大有关。此外,非西班牙裔白人受访者的非自愿医疗延迟率高于其他种族/族裔的受访者。我们的研究结果为研究新冠相关医疗中断对健康影响的研究人员以及制定工具以抵消此类中断潜在危害的政策制定者提供了有用的指导。