Reproductive healthcare denials among a privately insured population.

Autor:	Hebert LE; Institute for Research and Education to Advance Community Health, Washington State University, 1100 Olive Way, Ste 1200, Seattle, WA, USA., Wingo EE; Department of Family and Community Medicine, University of California, San Francisco, 1701 Divisadero St, San Francisco, CA, USA., Hasselbacher L; Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, Department of Obstetrics and Gynecology, University of Chicago, 6030 South Ellis Avenue, Chicago IL, USA., Schueler KE; Pritzker School of Medicine, University of Chicago, 924 E 57th St, Ste #104, Chicago, IL, USA., Freedman LR; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, 1701 Divisadero St, San Francisco, CA, USA.; Advancing New Standards in Reproductive Health (ANSIRH), University of California San Francisco, 1330 Broadway, Suite 1100, Oakland, CA, USA., Stulberg DB; Department of Family Medicine, University of Chicago, 5841 S Maryland Ave., Chicago, IL, 60637, USA.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2021 Jun 24; Vol. 23, pp. 101450. Date of Electronic Publication: 2021 Jun 24 (Print Publication: 2021).
DOI:	10.1016/j.pmedr.2021.101450
Abstrakt:	This study aimed to quantify and examine reproductive healthcare denials experienced by individuals receiving employer-sponsored health insurance. We conducted a national cross-sectional survey using probability and non-probability-based panels from December 2019-January 2020. Eligible respondents were adults employed by any Standard and Poor's 500 company, who received employer-sponsored health insurance. Respondents (n = 1,001) reported whether anyone on their healthcare plan had been denied a reproductive healthcare service in the past five years and details about their denials. We conducted bivariate analyses and multiple logistic regression to estimate factors associated with denials. Eleven percent of respondents (14% of women; 10% of men) reported a denial. Compared to lower-income respondents, those with income ≥ $50,000/year were less likely to experience a denial (aOR = 0.53; 95% CI 0.29-0.97). Compared to respondents who were never married, being married (aOR = 2.33; 95% CI: 1.03-5.30) or cohabiting (aOR = 2.43; 95% CI: 1.03-5.72) significantly increased odds of experiencing a denial. In 38% of cases the patient learned of the denial at a scheduled visit, while 23% learned in an emergency setting, and 13% after the encounter. Individuals covered by employer-sponsored health insurance continue to be denied coverage of preventive services. Employers and insurers can facilitate access to reproductive healthcare by ensuring that their plans include comprehensive coverage and in-network providers offer comprehensive services. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2021 Published by Elsevier Inc.)
Databáze:	MEDLINE
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