Charging of overseas visitors in England and universal health coverage: a cross-sectional analysis of NHS trusts.
Charging of overseas visitors in England and universal health coverage: a cross-sectional analysis of NHS trusts.
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英国海外游客收费和全民健康保险：NHS 信托机构的横断面分析。
DOI：
10.1093/pubmed/fdaa207
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Dobbin J
中科院分区：
文献类型：
--
作者：
Dobbin J
背景2017年，英格兰的新法规在国民健康服务（NHS）中引入了非紧急护理的预付费。来自欧洲经济区以外的个人谁没有支付移民附加费的NHS护理收取150%的cost.MethodsA信息自由（FOI）的要求被发送到135急性非专科NHS信托在英格兰创建一个数据库的海外游客收费。这是使用多元线性回归分析，探讨性别，年龄，国籍，种族，紧迫性和healthcare.ResultsOf 135急性非专科信托在英格兰64回答，提供了一个数据集的13 484例患者之间的关系。女性被发现发票金额高于男性（P= 0.002）。患者更有可能是女性（63% vs 37%男性），在该组中，几乎一半的患者处于育龄期，47.9%（3165）的患者年龄为16-40岁。只有七个信托基金提供的数据上的紧迫性，并在这些信托的治疗的紧迫性显着相关的成本，最紧迫的（立即必要的）治疗成本最（P< 0.001）。ConclusionThis研究反映，移民妇女，特别是无证妇女，不成比例地影响NHS收费政策在英格兰。
BackgroundIn 2017, new regulations in England introduced upfront charging for non-urgent care within the National Health Service (NHS). Individuals from outside the European Economic Area who have not paid the immigration surcharge are chargeable for NHS care at 150% of cost.MethodsA freedom of information (FOI) request was sent to 135 acute non-specialist NHS trusts in England to create a database of overseas visitors charges. This was analysed using multiple linear regression to explore the relationship between sex, age, nationality, ethnicity, urgency and the cost of healthcare.ResultsOf 135 acute non-specialist trusts in England 64 replied, providing a data set of 13 484 patients. Women were found to be invoiced higher amounts than men (P= 0.002). Patients were more likely to be women (63 versus 37% men), and within this group, almost half of patients were of reproductive age, with 47.9% (3165) aged 16–40 years old. Only seven trusts supplied data on urgency, and within these trusts the urgency of treatment was significantly related to cost, with the most urgent (immediately necessary) treatment costing the most (P< 0.001).ConclusionThis research reflects that that migrant women, and particularly undocumented women, are disproportionately impacted by the NHS charging policies in England.
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影响因子：
1.9
作者：
Martinez, Omar;Wu, Elwin;Sandfort, Theo;Dodge, Brian;Carballo-Dieguez, Alex;Pinto, Rogeiro;Rhodes, Scott;Moya, Eva;Chavez-Baray, Silvia
通讯作者：
Chavez-Baray, Silvia
统计笔记：转换数据
DOI：
--
发表时间：
1996
期刊：
影响因子：
--
作者：
M. Bland;D. Altman
通讯作者：
D. Altman
无证件移民的卫生保健障碍：文献综述。
影响因子：
3.5
作者：
Hacker K;Anies M;Folb BL;Zallman L
通讯作者：
Zallman L
2001 年英格兰和威尔士各族裔健康预期寿命的不平等
影响因子：
3.1
作者：
P. Wohland;P. Rees;J. Nazroo;C. Jagger
通讯作者：
C. Jagger