MMWR Morb Mortal Wkly Rep. 1996 Aug 16;45(32):700-4.
During 1970-1992, total lengths of hospital stay following delivery declined substantially for both mothers and newborn infants. In response to public perceptions that postpartum stays have become excessively short, 28 states have enacted legislation and the U.S. Senate is considering legislation mandating that insurers provide health-care coverage for a minimum postpartum length of stay for both mother and infant. One June 28, 1995, New Jersey enacted legislation requiring insurance companies and health-maintenance organizations (HMOs) to pay for at least a 48-hour postpartum hospital stay for women and newborns following vaginal delivery and a 96-hour postpartum stay following cesarean delivery when requested by the mother or the attending physician. To assess the effect of this law in New Jersey on the average length of stay for uncomplicated deliveries, electronic birth certificate (EBC) data findings, which demonstrate that, following enactment of legislation, the average length of stay increased for uncomplicated deliveries at these four hospitals.
在1970年至1992年期间,产妇和新生儿产后住院的总时长都大幅下降。鉴于公众认为产后住院时间变得过短,28个州已颁布立法,美国参议院也在考虑立法,强制要求保险公司为产妇和婴儿提供至少最低时长的产后医保覆盖。1995年6月28日,新泽西州颁布立法,要求保险公司和健康维护组织(HMO)在产妇或主治医生提出要求时,为顺产的妇女和新生儿支付至少48小时的产后住院费用,为剖宫产的妇女和新生儿支付96小时的产后住院费用。为评估新泽西州这项法律对正常分娩平均住院时长的影响,电子出生证明(EBC)数据结果显示,立法颁布后,这四家医院正常分娩的平均住院时长有所增加。