Characteristics of Adults With Substance Use Disorders Expected to Be Eligible for Medicaid Under the ACA
Characteristics of Adults With Substance Use Disorders Expected to Be Eligible for Medicaid Under the ACA
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DOI：
10.1176/appi.ps.201200011
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发表时间：
2013-06-01
影响因子：
3.8
通讯作者：
Barry, Colleen L.
中科院分区：
文献类型：
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作者：
Busch, Susan H.;Meara, Ellen;Barry, Colleen L.
目标：平价医疗法案 (ACA) 的条款可能会扩大低收入个人获得药物滥用障碍治疗的机会。该研究的目的是提供有关可能符合平价医疗法案 (ACA) 医疗补助资格的个人是否需要药物滥用障碍治疗的信息。方法：2008 年和 2009 年全国药物使用与健康调查提供了有关人口特征、健康状况和物质使用障碍的数据，用于对当前低收入医疗补助参保者 (N=3,809) 与目前没有保险且家庭收入可能有资格从 2014 年开始享受医疗补助的个人 (N=5,049) 进行比较。比较组的收入为联邦贫困线的 138%（平价医疗法案中规定的 133% 加上法律允许的 5% 收入“忽略”）。结果：当前未投保的收入符合条件的个人中物质使用障碍的发生率略高于当前医疗补助参与者的发生率（14.6% 对比 11.5%，p=0.03）。尽管两组对物质使用障碍治疗的需求均显着未得到满足，但收入合格组中需要治疗的患者的治疗率显着低于当前入组组（31.3% vs 46.8%，p
Objectives: Provisions in the Affordable Care Act (ACA) are likely to expand access to substance use disorder treatment for low-income individuals. The aim of the study was to provide information on the need for substance use disorder treatment among individuals who may be eligible for Medicaid under the ACA. Methods: The 2008 and 2009 National Survey on Drug Use and Health provided data on demographic characteristics, health status, and substance use disorders for comparison of current low-income Medicaid enrollees (N=3,809) with currently uninsured individuals with household incomes that may qualify them for Medicaid coverage beginning in 2014 (N=5,049). The incomes of the groups compared were 138% of the federal poverty level (133% provided in the ACA plus a 5% income "disregard" allowed by the law). Results: The rate of substance use disorders among currently uninsured income-eligible individuals was slightly higher than the rate among current Medicaid enrollees (14.6% versus 11.5%, p=.03). Although both groups had significant unmet need for substance use disorder treatment, the treatment rate among those who needed treatment was significantly lower in the income-eligible group than in the currently enrolled group (31.3% versus 46.8%, p