To pay or not to pay: public perception regarding insurance coverage of obesity treatment.
To pay or not to pay: public perception regarding insurance coverage of obesity treatment.
复制标题
支付或不支付：公众对肥胖治疗保险范围的看法。
DOI：
10.1002/oby.20387
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Fagerlin,Angela
中科院分区：
文献类型：
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作者：
Woolford,SusanJ;Clark,SarahJ;Butchart,Amy;Geiger,JamesD;Davis,MatthewM;Fagerlin,Angela
ObjectiveTo explore public opinion regarding insurance coverage for obesity treatment among severely obese adolescents.Design and MethodsThe National Poll on Children's Health was fielded to a nationally representative sample of US adults, January 2011. Respondents (n= 2150) indicated whether insurance should cover specific weight management services for obese adolescents and whether private insurance and Medicaid should cover bariatric surgery. Sampling weights were applied to generate nationally representative results. Linear and logistic regression analyses were performed to assess associations.ResultsMore respondents endorsed insurance coverage for traditional healthcare services (mental health 86%, dietitian 84%) than for services generally viewed as outside the healthcare arena (exercise programs 65%, group programs 60%). For bariatric surgery, 81% endorsed private insurance coverage; 55% endorsed Medicaid coverage. Medicaid enrollees, black, Hispanic, and low‐income respondents had greater odds (P< 0.05) of endorsing bariatric surgery coverage by Medicaid, compared to the referent groups (non‐Hispanic white, income ≥$60K, private insurance).ConclusionAlthough public support for insurance coverage of traditional weight management services appears high, support for Medicaid coverage for bariatric surgery is lower and varies by demographics. If public opinion is a harbinger of future coverage, low‐income adolescents could experience disparities in access to treatments like bariatric surgery.
