Understanding the impact of health insurance coverage on access to and quality of cancer care, as well as the implications for cancer outcomes, is critically important for informing practice and policy within the complex and changing health-care context. In this issue of the Journal, Yabroff et al. (1) conducted a systematic review of 29 studies, published between 1980 and 2019, evaluating health insurance coverage disruptions and cancer care and outcomes in the United States. They found coverage disruptions strikingly common across studies and associated with lower quality of care and poorer outcomes. This thorough synthesis of the literature is an important step toward understanding the role of continuity of health insurance coverage and points to the immense heterogeneity across studies, including variation in cancer sites studied, definitions of insurance disruptions, and periods of interest across the cancer care continuum. Their important review suggests a number of opportunities for improving measurement of continuity of coverage to inform improvements in cancer care delivery and quality.

中文翻译：

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了解整个癌症护理领域的保险范围的影响：超越零散的系统和跨部门数据，以为政策提供信息。

了解健康保险覆盖范围对癌症治疗的获取和质量的影响以及对癌症结局的影响，对于在复杂且不断变化的医疗保健背景下为实践和政策提供信息至关重要。在本期杂志中，Yabrov等人。（1）对1980年至2019年之间发表的29项研究进行了系统评价，评估了美国的健康保险覆盖范围中断，癌症护理和结果。他们发现，覆盖范围中断在整个研究中非常普遍，并且与较低的护理质量和较差的结果有关。全面的文献综述是迈向了解健康保险承保连续性的重要一步，并指出了各个研究之间的巨大异质性，包括所研究的癌症部位的变异，保险中断的定义，以及整个癌症护理连续体的关注期。他们的重要评论提出了许多机会，可以改善覆盖范围连续性的衡量标准，从而为改善癌症护理的提供和质量提供信息。