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首页> 外文期刊>Journal of public health management and practice: JPHMP >Health Care Communication Laws in the United States, 2013: Implications for Access to Sensitive Services for Insured Dependents
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Health Care Communication Laws in the United States, 2013: Implications for Access to Sensitive Services for Insured Dependents

机译：美国的医疗保健沟通法律，2013年：用于获得被保险人家属的敏感服务的含义

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摘要

Young adults may not seek sensitive health services when confidentiality cannot be ensured. To better understand the policy environment for insured dependent confidentiality, we systematically assessed legal requirements for health insurance plan communications using WestlawNext to create a jurisdiction-level data set of health insurance plan communication regulations as of March 2013. Two jurisdictions require plan communications be sent to a policyholder, 22 require plan communications to be sent to an insured, and 36 give insurers discretion to send plan communications to the policyholder or insured. Six jurisdictions prohibit disclosure, and 3 allow a patient to request nondisclosure of certain patient information. Our findings suggest that in many states, health insurers are given considerable discretion in determining to whom plan communications containing sensitive health information are sent. Future research could use this framework to analyze the association between state laws concerning insured dependent confidentiality and public health outcomes and related sensitive services.
机译：当保密无法确保保密时，年轻人可能无法寻求敏感的保健服务。为了更好地了解被保险人依赖机密性的政策环境，我们系统地评估了使用Westlawnext的健康保险计划沟通的法律要求，以创建截至2013年3月的司法管辖范围数据集。两个司法管辖区需要计划沟通保单持有人，22要求将计划沟通送到保险，36人提供保险公司酌情向保单持有人或保险人发送计划沟通。六个司法管辖区禁止披露，3允许患者要求某些患者信息的非歧视。我们的调查结果表明，在许多州，卫生保险公司在确定涵盖持有敏感健康信息的计划通信时得到了相当大的酌情权。未来的研究可以利用本框架分析有关被保险人依赖机密性和公共卫生成果以及相关敏感服务的国家法律之间的关联。

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