Early Impact of the Affordable Care Act and Medicaid Expansion on Racial and Socioeconomic Disparities in Cancer Care
Early Impact of the Affordable Care Act and Medicaid Expansion on Racial and Socioeconomic Disparities in Cancer Care
复制标题
DOI：
10.1097/coc.0000000000000588
复制
发表时间：
2020-03-01
影响因子：
2.6
通讯作者：
Mahal, Brandon A.
中科院分区：
文献类型：
--
作者：
Mahal, Amandeep R.;Chavez, Janice;Mahal, Brandon A.
目的：我们试图评估社会人口学差异的保险覆盖面非老年人与常见癌症后，平价医疗法案（ACA）的实施。患者和方法：从2010年到2014年，总共确定了109，182名年龄在18至64岁之间的患者，他们被诊断患有常见癌症（肺癌，乳腺癌或前列腺癌）。多变量逻辑回归分析ACA的实施和无保险率之间的关联的基础上，国家的方法来扩大医疗补助，分层的种族（黑人，白色）和收入（分层在138%联邦贫困线）。结果如下：ACA实施后，未投保率下降，与传统医疗补助扩张相关的最大比率下降（P-交互作用
Objectives: We sought to evaluate sociodemographic disparities in insurance coverage among nonelderly adults with a common cancer after Affordable Care Act (ACA) implementation. Patients and Methods: In total, 109,182 patients aged 18 to 64 years diagnosed with a common cancer (lung, breast, or prostate cancer) were identified from 2010 to 2014. Multivariable logistic regressions analyzed associations between ACA implementation and uninsured rates on the basis of state approach to Medicaid expansion, stratified by race (black, white), and income (stratified at 138% Federal Poverty Line). Results: Uninsured rates declined after ACA implementation, with the greatest rate reductions associated with traditional Medicaid expansion (P-interaction