Trends in employer-sponsored health insurance coverage for tobacco-dependence treatments
Trends in employer-sponsored health insurance coverage for tobacco-dependence treatments
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DOI：
10.1016/j.amepre.2008.06.036
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发表时间：
2008-10-01
影响因子：
5.5
通讯作者：
Shade, Starley B.
中科院分区：
文献类型：
--
作者：
McMenamin, Sara B.;Halpin, Helen A.;Shade, Starley B.
背景：加州近180万吸烟者通过雇主获得健康保险福利。这些工人在多大程度上通过雇主赞助的医疗保健获得烟草依赖治疗（TDTs）的保险是未知的。方法：本研究使用2000年和2005年加州雇主健康福利调查的数据来确定私营公司对tdt的覆盖范围。受访企业的总体回复率分别为41%和36%。本分析中使用的样本仅限于2000年（n=729）或2005年（n=745）向员工提供健康福利的加州私营公司。结果：这项研究发现，在提供医疗保险的私营公司中，从2000年到2005年，接受任何tdt治疗的工人比例显著增加（44%至57%）。所有三种形式的TDTs（尼古丁替代疗法，Zyban (R)，咨询）的覆盖率在5年期间从11%增加到22%。结论：尽管覆盖率有所提高，但仍未达到美国公共卫生服务指南和2010年健康人目标中提出的建议。考虑到tdt的有效性、成本效益、公众对覆盖范围的需求以及相对较低的覆盖成本（估计每位会员每年3- 6美元），很难理解为什么这种覆盖在加州没有得到更广泛的覆盖。
Background: Nearly 1.8 million smokers in California receive their health insurance benefits through their employer. The extent to which these workers have coverage for tobacco-dependence treatments (TDTs) through their employer-sponsored health care is unknown.Methods: This research used the 2000 and 2005 data from the California Employer Health Benefits Surveys to determine coverage for TDTs by private firms. The overall response rates of firms to the survey were 41% and 36%, respectively. The samples used in this analysis are limited to private firms in California that offered employee health benefits in 2000 (n=729) or in 2005 (n=745).Results: This research found that among private firms offering health insurance coverage, there was a significant increase from 2000 to 2005 in the percentage of workers covered for any TDTs (44% to 57%). Rates of coverage for all three forms of TDTs (nicotine replacement therapy, Zyban (R), counseling) doubled from 11% to 22% over the 5-year time period.Conclusions: Although coverage levels have improved, they still fall short of the recommendations made in the U.S. Public Health Service guidelines as well as in the Healthy People 2010 objectives. Given the effectiveness, cost effectiveness, public demand for coverage, and relatively low cost of covering TDTs-estimated to be $3-$6 per member per year-it is difficult to understand why such coverage is not more widely available in California.