Intimate partner violence against women: do victims cost health plans more?
Intimate partner violence against women: do victims cost health plans more?
复制标题
亲密伴侣针对女性的暴力行为：受害者是否会花费更多医疗计划费用？
作者：
C. Wisner;T. Gilmer;L. Saltzman;T. Zink
背景
此前有关亲密伴侣暴力的研究并未将女性受害者的医疗保健费用与一般女性群体的医疗保健费用进行比较。
方法
我们的研究对 1994 年明尼苏达州明尼阿波利斯和圣保罗的一项大型健康计划中 126 名已确定的亲密伴侣暴力受害者的计算机成本数据进行了分析。数据与同年使用医疗保健服务的 1007 名普通女性参与者（年龄 18 至 64 岁）的随机样本进行了比较。
结果
我们发现，用于亲密伴侣暴力受害者的支出每年比随机抽样的一般女性参与者多出 1775 美元。回归分析发现，亲密伴侣暴力的受害者明显更年轻，住院次数、一般诊所使用次数、心理健康服务使用次数和计划外转诊次数也更多。各组对急诊室服务的使用情况相同。
结论
亲密伴侣暴力受害者的女性在该健康计划中的花费比随机抽样的一般女性参与者高出约 92%。与其他研究的结果相反，使用急诊室服务并不是费用较高的驱动因素。其他研究也支持了心理健康服务使用率显着增加的结果。
BACKGROUND
Previous studies of intimate partner violence have not compared the health care costs of female victims with those of a general female population.
METHODS
Our study is an analysis of the computerized cost data for 126 identified victims of intimate partner violence in a large health plan in Minneapolis and St. Paul, Minnesota, in 1994. Data were compared with a random sample of 1007 general female enrollees (aged 18 to 64 years) who used health care services in the same year.
RESULTS
We found that an annual difference of $1775 more was spent for victims of intimate partner violence than on a random sample of general female enrollees. Regression analyses found that victims of intimate partner violence were significantly younger and had more hospitalizations, general clinic use, mental health services use, and out-of-plan referrals. Use of emergency room services was the same across groups.
CONCLUSIONS
Women who were victims of intimate partner violence cost this health plan approximately 92% more than a random sample of general female enrollees. Contrary to the findings of other studies, use of emergency room services was not a driving factor in the higher costs. Findings of significantly higher mental health service use are supported by other studies.