Unmet need among rural medicaid beneficiaries in Minnesota
Unmet need among rural medicaid beneficiaries in Minnesota
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DOI：
10.1111/j.1748-0361.2002.tb00908.x
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发表时间：
2002-06-01
影响因子：
4.9
通讯作者：
Kendall, SJ
中科院分区：
文献类型：
--
作者：
Long, SK;Coughlin, TA;Kendall, SJ
鉴于农村居民的脆弱性和医疗补助人口普遍面临的医疗保健问题，医疗补助和生活在农村地区的综合影响提出了有关获得医疗保健服务的重要问题。这项研究着眼于卫生保健服务的一个关键方面：未满足的卫生保健服务需求。这项研究依赖于1998年对明尼苏达州农村医疗补助受益人的调查数据。总体反应率为70%。在这项研究中，样本仅限于调查前12个月内接受医疗补助的妇女，共有900名受访者。该研究发现，农村医疗补助受益人面临高水平的未满足需求：超过三分之一的人报告延迟或没有获得他们认为需要的医生，医院或专家护理。虽然这项研究缺乏对高水平未满足需求的后果的直接衡量，但有证据表明，更多的急诊室使用与未满足需求有关。调查数据不一定能推广到其他农村地区，像所有的调查一样，这一次是受无应答偏见以及潜在的偏见，因为受访者回忆和自我评估的医疗需求。然而，这些发现表明，医疗补助受益人和计划成本的需求未得到满足的负面后果。
Given the vulnerabilities of rural residents and the health care issues faced by the Medicaid population generally, the combined effects of being on Medicaid and living in a rural area raise important questions about access to health care services. This study looks at a key dimension of health care access: unmet need for health care services. The study relies on data from a 1998 survey of rural Minnesota Medicaid beneficiaries. An overall response rate of 70% was obtained. For this study, the sample is limited to women who were on Medicaid for the full 12 months prior to the survey, resulting in 900 respondents. The study finds that the rural Medicaid beneficiaries face high levels of unmet need: more than 1 in 3 reported either delaying or not getting doctor, hospital, or specialist care that they felt they needed. Although the study lacks direct measures of the consequences of the high levels of unmet need, there is evidence that greater emergency room use is associated with unmet need. The survey data cannot necessarily be generalized to other rural areas, and like all surveys, this one is subject to nonresponse bias as well as potential biases because of respondent recall and self-assessment Of medical needs. Nevertheless, these findings are suggestive of negative consequences of unmet need for both Medicaid beneficiaries and program costs.