Avanti Badrinathan, Thomas A. Syphan, A. Bassiri, J. Linden, Christine E. Alvarado, Jillian N. Sinopoli, Leonidas Tapias Vargas, C. Towe
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引用次数: 0
摘要
平价医疗法案医疗补助扩大对微创食管切除术(MIE)的影响尚不清楚。我们假设ACA扩大所带来的更大的医疗补助覆盖范围将与获得MIE的改善有关,并对国家癌症数据库进行了分析,比较了医疗补助扩大州和未扩大州的MIE率。MIE多见于扩张状态(30.37%vs 23.88%, P < 0.001)。然而,一项多变量差异分析表明,由于医疗补助计划的扩大,MIE率没有影响。这一发现表明,获得医疗服务比获得保险更为复杂。需要进一步研究以确定获得MIE方面的差异。
The Impact of Disparities on Minimally Invasive Esophagectomy After the 2014 Affordable Care Act Expansion: A Retrospective Analysis
The effect of Affordable Care Act Medicaid expansion on access to minimally invasive esophagectomy (MIE) is unknown. We hypothesize that greater Medicaid coverage resulting from ACA expansion would be associated with improved access to MIE, and performed an analysis of the National Cancer Database, comparing MIE rates in Medicaid expansion states to non-expansion states. MIE was more common in expansion states (30.37%vs 23.88%, P < .001). A multivariable difference-in-differences analysis, however, suggested no effect in MIE rate due to Medicaid expansion. This finding suggests that access to care is more complex than access to insurance. Further study is required to characterize disparities in access to MIE.