Health Insurance Coverage Among Persons With Schizophrenia in the United States
Health Insurance Coverage Among Persons With Schizophrenia in the United States
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DOI：
10.1176/ps.2010.61.8.830
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发表时间：
2010-08-01
影响因子：
3.8
通讯作者：
Daumit, Gail L.
中科院分区：
文献类型：
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作者：
Khaykin, Elizabeth;Eaton, William W.;Daumit, Gail L.
目的：这项研究估计了美国平民非制度化精神分裂症人群的医疗保险覆盖率，并评估了基本医疗保健的获得是否因医疗保险类别而异。方法：使用2002年至2006年收集的医疗支出面板调查数据。结果：样本包含328条记录，代表493，006名患有精神分裂症的非机构化平民。87%的人有医疗补助或医疗保险，8%的人通过退伍军人健康管理局接受护理，15%的人在一年中至少有一天有私人保险。大约7%的人全年都没有保险。没有保险的人往往是男性（92%）、非白人（54%）和未婚（97%），30%的没有保险的人五年多没有做过体检。结论：几乎所有美国成年精神分裂症患者都获得了政府医疗保险，但仍有相当一部分人没有保险。这些国家估计数突出了改善向这一弱势群体提供保健服务的机会。（精神病学服务61：830-834，2010）
Objective: This study estimated the rates of health insurance coverage in the U.S. civilian noninstitutionalized population with schizophrenia and assessed whether basic access to health care varied across health insurance categories. Methods: Data from the Medical Expenditures Panel Survey collected between 2002 and 2006 were used. Results: The sample contained 328 records representing 493,006 noninstitutionalized civilian persons with schizophrenia. Eighty-seven percent had Medicaid or Medicare, 8% received care through the Veterans Health Administration, and 15% had private insurance for at least one day during the year. About 7% were uninsured all of the year. The uninsured tended to be male (92%), nonwhite (54%), and unmarried (97%), and 30% of the uninsured had not had a medical checkup in more than five years. Conclusions: Almost all U.S. adults with schizophrenia were found to receive government health insurance, yet a measurable minority remained uninsured. These national estimates highlight opportunities for improving health service delivery for this vulnerable population. (Psychiatric Services 61:830-834, 2010)