Salehian Shiva, Preston Michael, Cunningham Peter, Bandyopadhyay Dipankar, Taylor Emmanuel
Health Policy Department, Virginia Commonwealth University, Richmond, VA, USA.
Biostatistics Department, Virginia Commonwealth University, Richmond, VA, USA.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241307080. doi: 10.1177/17455057241307080.
Mortality rate of female gynecologic cancer is higher among individuals without affordable health insurance.
We determined the impact of Medicaid expansion on the number of female gynecologic-related cancer inpatient admissions in Virginia (VA) relative to North Carolina (NC), the latter of which did not expand Medicaid.
This quasi-experimental study was restricted to women between 18 and 64 years old admitted to general, acute, and short-term hospitals with gynecologic cancer.
We used Poisson fixed-effect event study regression to examine differences in the predicted number of female gynecologic-related cancer admissions in the quarters before and after Medicaid expansion (implemented in January 2019) in VA, compared to the same period in NC.
Even though not significant, the predicted number of female gynecologic cancer-related inpatient admissions in VA increased by 4.8%, 4.9%, and 5.5% in the second, third, and fourth quarter of 2019, respectively, compared to the first quarter of 2019.
Medicaid expansion in VA increased access to health services for Medicaid members, possibly due to initial pent-up demand among uninsured individuals.
在没有可负担得起的医疗保险的人群中，女性妇科癌症的死亡率更高。
我们确定了弗吉尼亚州（VA）相对于北卡罗来纳州（NC）医疗补助扩大对女性妇科相关癌症住院人数的影响，后者未扩大医疗补助。
这项准实验研究仅限于18至64岁因妇科癌症入住综合、急症和短期医院的女性。
我们使用泊松固定效应事件研究回归来检验弗吉尼亚州医疗补助扩大（2019年1月实施）前后季度中女性妇科相关癌症入院预测数量的差异，并与北卡罗来纳州同期进行比较。
尽管不显著，但与2019年第一季度相比，2019年第二、第三和第四季度弗吉尼亚州女性妇科癌症相关住院人数的预测数量分别增加了4.8%、4.9%和5.5%。
弗吉尼亚州的医疗补助扩大增加了医疗补助成员获得医疗服务的机会，这可能是由于未参保人群最初的潜在需求所致。
