Medicaid Tobacco Cessation: Big Gaps Remain In Efforts To Get Smokers To Quit
Medicaid Tobacco Cessation: Big Gaps Remain In Efforts To Get Smokers To Quit
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DOI：
10.1377/hlthaff.2015.0756
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发表时间：
2016-01-01
期刊：
影响因子：
9.7
通讯作者：
Bysshe, Tyler
中科院分区：
文献类型：
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作者：
Ku, Leighton;Bruen, Brian K.;Bysshe, Tyler
医疗补助计划的参与者吸烟的可能性是美国普通人口的两倍：该计划中32%的人认为自己是吸烟者。本文提供了关于州医疗补助计划在促进戒烟方面的有效性的第一个数据。我们对医疗补助注册者使用戒烟药物的分析发现，2013年约有10%的吸烟者接受了戒烟药物。每个州的医疗补助计划都包括戒烟福利，但这些药物的使用情况差别很大，明尼苏达州的比例是德克萨斯州的30倍。大多数州可以加大力度帮助吸烟者戒烟，与公共卫生机构，管理式医疗计划等合作。2013年，医疗补助在戒烟药物上花费了1.03亿美元，不到医疗补助估计吸烟相关疾病费用的0.25%。此外，在《平价医疗法案》之后没有扩大医疗补助资格的州，与扩大州相比，吸烟率更高，戒烟药物的使用率更低。考虑到这些因素，非扩张州将有更大的与吸烟有关的公共卫生负担。医疗补助和公共卫生机构应共同努力，使戒烟成为医疗补助受益人的优先事项。
Medicaid enrollees are about twice as likely as the general US population to smoke tobacco: 32 percent of people in the program identify themselves as smokers. This article provides the first data about the effectiveness of state Medicaid programs in promoting smoking cessation. Our analysis of Medicaid enrollees' use of cessation medications found that about 10 percent of current smokers received cessation medications in 2013. Every state Medicaid program covers cessation benefits, but the use of these medications varies widely, with the rate in Minnesota being thirty times higher than that in Texas. Most states could increase their efforts to help smokers quit, working with public health agencies, managed care plans, and others. In 2013 Medicaid spent $103 million on cessation medications-less than 0.25 percent of the estimated cost to Medicaid of smoking-related diseases. Additionally, states that have not expanded Medicaid eligibility in the wake of the Affordable Care Act have higher smoking prevalence and lower utilization rates of cessation medication, compared to expansion states. Given these factors, nonexpansion states will have a greater public health burden related to smoking. Medicaid and public health agencies should work together to make smoking cessation a priority for Medicaid beneficiaries.