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艾滋病患者的保险状况:与社会人口学特征及服务利用的关系。

Insurance status among people with AIDS: relationships with sociodemographic characteristics and service use.

作者信息

Fleishman J A, Mor V

机构信息

Center for Gerontology and Health Care Research, Brown University.

出版信息

Inquiry. 1993 Summer;30(2):180-8.

PMID:8314606
Abstract

This paper presents data on health insurance coverage among people with AIDS. The data came from interviews with 937 people with AIDS recruited from outpatient HIV clinics and community-based AIDS service organizations in nine communities across the United States. At the time of the interview, 30% had private insurance, 29% had no insurance, and 41% were covered by some form of public health insurance. Respondents who were nonwhite, injected-drug users, unemployed, and had incomes of less than $500 per month were more likely than their respective counterparts to have no insurance or to have publicly funded insurance. There were marked regional variations in insurance status, with the South having the highest proportion of of uninsured and the lowest proportion receiving Medicaid. Ninety-five percent of the uninsured and the publicly insured, compared to 47% of those with private insurance, used clinics as their source of medical care. People without insurance were less likely than those with private insurance to have been admitted overnight to a hospital, and their lengths of stay were shorter.

摘要

本文展示了有关艾滋病患者医疗保险覆盖情况的数据。这些数据来自对937名艾滋病患者的访谈,他们是从美国九个社区的门诊艾滋病毒诊所和社区艾滋病服务组织招募而来的。在访谈时,30%的人有私人保险,29%的人没有保险,41%的人由某种形式的公共医疗保险覆盖。非白人、注射吸毒者、失业者以及月收入低于500美元的受访者比各自的对应人群更有可能没有保险或拥有公共资助的保险。保险状况存在显著的地区差异,南部未参保的比例最高,接受医疗补助的比例最低。95%的未参保者和公共保险参保者将诊所作为他们的医疗服务来源,相比之下,有私人保险的人这一比例为47%。没有保险的人比有私人保险的人住院过夜的可能性更小,且住院时间更短。

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