Moy E, Bartman B A, Weir M R
Division of General Internal Medicine, University of Maryland School of Medicine, Baltimore, USA.
Arch Intern Med. 1995 Jul 24;155(14):1497-502.
This study examines the relationship between income, health insurance, and usual source of care characteristics and screening and management of hypertension.
This is a secondary analysis of data from the 1987 National Medical Expenditure Survey. Adult survey respondents constitute a sample representative of the total adult noninstitutionalized US population. Screening, follow-up care, and pharmacologic treatment for hypertension were examined among low income individuals, the uninsured, those without a usual source of care place, and those without a particular usual source of care physician.
The uninsured, individuals without a usual source of care place, and those without a particular usual source of care physician received less screening, follow-up care, and pharmacologic treatment for hypertension. Income did not affect receipt of hypertensive care.
Lack of health insurance and lack of a usual source of care are barriers to hypertensive care. Policies that increase access to health insurance or to usual source of care physicians may enable more individuals to attain control of hypertension.
本研究探讨收入、医疗保险、常规就医来源特征与高血压筛查及管理之间的关系。
这是对1987年国家医疗支出调查数据的二次分析。成年调查对象构成了美国非机构化成年总人口的代表性样本。对低收入个体、未参保者、没有常规就医场所者以及没有特定常规就医医生者的高血压筛查、后续治疗和药物治疗情况进行了研究。
未参保者、没有常规就医场所者以及没有特定常规就医医生者接受的高血压筛查、后续治疗和药物治疗较少。收入不影响高血压护理的接受情况。
缺乏医疗保险和缺乏常规就医来源是高血压护理的障碍。增加医疗保险或常规就医医生获取途径的政策可能使更多个体能够控制高血压。
