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首页> 外文期刊>Journal of health care for the poor and underserved >Gaining Medicaid Coverage During ACA Implementation: Effects on Access to Care and Preventive Services
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Gaining Medicaid Coverage During ACA Implementation: Effects on Access to Care and Preventive Services

机译：在ACA实施期间获得医疗补助范围：对护理和预防性服务的影响

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Objective. The continued expansion of Medicaid is under debate; it is critical to evaluate the effect of obtaining Medicaid on access to preventive care. Methods. We analyzed longitudinal data from the 2013-2014 Medical Expenditure Panel Survey and applied a difference-in-differences approach. Our treatment group included low-income, non-pregnant, non-disabled adults aged 18-64 with no insurance in 2013 who received Medicaid in 2014; the comparison group included individuals who did not have insurance in either year. Results. Gaining Medicaid increased the likelihood of having a usual source of care, at least one office visit, annual checkup, annual cholesterol and blood pressure tests by 13 (CI: 2-24), 14 (CI: 2-27), 11 (CI: 1-21), 29 (CI: 20-39), and 13 (CI: 1-25) percentage points, respectively. Receipt of flu vaccine increased by eight (CI: -3-19) percentage points (insignificant). Conclusions. Medicaid coverage improved use of evidence-based preventive services at a national level among uninsured, non-pregnant, low-income adults.
机译：客观的。 Medicaid的持续扩张是在辩论中;评估获得医疗补助准备预防性护理的效果至关重要。方法。我们分析了2013 - 2014年医疗支出面板调查的纵向数据，并应用了差异差异化方法。我们的治疗组包括18-64岁的低收入，非怀孕，非残疾人成年人，于2013年在2014年在2014年没有保险;比较小组包括任何一年没有保险的个人。结果。获得医疗补助增加了常规护理的可能性，至少一项办公室访问，年度检查，年度胆固醇和血压测试，13（CI：2-24），14（CI：2-27），11（CI ：1-21），29（CI：20-39）和13（CI：1-25）百分点。流感疫苗收到八（CI：-3-19）百分点（微不足道）。结论。医疗补助范围在未知，非怀孕，低收入成年人中改善了在国家一级使用基于证据的预防性服务。

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