Bartnyska L M, Schactman M, Hidalgo J
Center for AIDS Services Planning and Development, Maryland Department of Health and Mental Hygiene, USA.
Inquiry. 1995 Summer;32(2):184-95.
The percentage of persons with AIDS (PWAs) enrolling in Medicaid is increasing by 3.7% annually. This paper examines the trends in Medicaid enrollment among PWAs and uses a Markov model to analyze the patterns in Medicaid eligibility as enrollees move between assistance categories. We found most Medicaid-eligible PWAs were Medicaid recipients prior to their AIDS diagnosis and differed significantly from non-Medicaid PWAs. The PWAs shifted considerably among the various Medicaid eligibility categories and we found distinct, predictable patterns among different subpopulations. A high percentage of PWAs were enrolled in a state-funded category, which is detrimental to both the PWAs and the state.
参加医疗补助计划的艾滋病患者人数每年增长3.7%。本文研究了艾滋病患者参加医疗补助计划的趋势，并使用马尔可夫模型分析了参保者在不同救助类别之间转换时医疗补助资格的模式。我们发现，大多数符合医疗补助条件的艾滋病患者在被诊断出患有艾滋病之前就是医疗补助的受益者，这与不符合医疗补助条件的艾滋病患者有显著差异。艾滋病患者在不同的医疗补助资格类别之间有相当大的变动，我们在不同亚人群中发现了明显且可预测的模式。很大比例的艾滋病患者参加了州政府资助的类别，这对艾滋病患者和该州都不利。
