佛罗里达州65岁及以上成年人的医疗保健可负担性及相关问题
Health care Affordability and Associated Concerns Among Adults Aged 65 and above in Florida.
作者信息
Wiltshire Jacqueline, Garcia Colato Edlin, Conner Kyaien O, Anderson Erica, Orban Barbara
机构信息
University of South Florida, Tampa, USA.
Indiana University Bloomington, USA.
出版信息
J Appl Gerontol. 2022 Apr;41(4):1120-1130. doi: 10.1177/07334648211039314. Epub 2021 Aug 17.
OBJECTIVE
This study assessed affordability of care in a diverse sample of Floridians aged ≥ 65 to ascertain concerns about health care costs.
METHODS
We surveyed 170 adults (40.6% white, 27.6% black, and 31.8% Hispanic) and conducted three race/ethnic-stratified focus groups ( = 27).
RESULTS
Most participants had Medicare (97.1%). Among whites, 11.6% reported problems paying medical bills in the past 12 months versus 14.9% of blacks and 24.1% of Hispanics. In addition, 13% of whites, 19.2% of blacks, and 20.4% of Hispanics reported not getting needed prescription drugs because of costs. The most frequently identified concerns from the focus groups were the cost of prescription drugs, out-of-pocket expenses, and medical billing. Concerns about medical billing included understanding bills, transparency, timely postings, and uncertainty about who to contact about problems.
DISCUSSION
Our findings suggest that practices that help older adults effectively manage medical bills and costs may alleviate their concerns and guard against financial burdens.
目的
本研究评估了年龄≥65岁的不同佛罗里达人样本的医疗可负担性，以确定对医疗费用的担忧。
方法
我们调查了170名成年人（40.6%为白人，27.6%为黑人，31.8%为西班牙裔），并开展了三个按种族/族裔分层的焦点小组（每组27人）。
结果
大多数参与者拥有医疗保险（97.1%）。在白人中，11.6%的人表示在过去12个月里支付医疗账单有问题，而黑人中有14.9%，西班牙裔中有24.1%。此外，13%的白人、19.2%的黑人以及20.4%的西班牙裔表示因费用问题未获得所需的处方药。焦点小组中最常提及的担忧是处方药费用、自付费用和医疗账单。对医疗账单的担忧包括理解账单、透明度、及时入账以及对遇到问题该联系谁的不确定性。
讨论
我们的研究结果表明，帮助老年人有效管理医疗账单和费用的做法可能会减轻他们的担忧，并防范经济负担。
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