In the United States, disparities in access to cancer screening, treatment, survivorship care, and survival have been well documented by patient race and/or ethnicity, socioeconomic status, and geographic region (1,2). Having health insurance coverage is one of the strongest predictors of patient access to high-quality care across the cancer control continuum, earlier stage diagnosis, and better survival (1,2). Because insurance coverage and benefit design are modifiable, they have been a major focus of health policy efforts to reduce disparities and improve population health. To date, most research evaluating the health effects of insurance coverage has measured coverage at only a single point in time. Little is known about health effects of insurance coverage disruptions, which are especially common in the poor and those with Medicaid coverage (3), the state-based health insurance programs for some low-income populations. Disruptions in insurance coverage may interfere with access to high-quality cancer care and adversely affect patient outcomes.

中文翻译：

---

青少年和年轻成人癌症患者的医疗补助保险范围中断和诊断时的疾病阶段。

在美国，患者种族和/或种族，社会经济地位和地理区域已充分证明了在癌症筛查，治疗，生存护理和生存方面的差异（1,2）。拥有健康保险覆盖范围是患者在癌症控制连续性，早期诊断和更好生存中获得高质量护理的最强预测指标之一（1,2）。由于保险范围和福利设计是可修改的，因此它们一直是减少差异和改善人口健康的卫生政策工作的主要重点。迄今为止，大多数评估保险覆盖范围对健康的影响的研究仅在单个时间点测量了覆盖范围。关于保险范围中断对健康的影响知之甚少，这在穷人和享受医疗补助的人中尤为常见（3），这是针对某些低收入人群的州级健康保险计划。保险范围的中断可能会干扰获得高质量癌症护理的机会，并对患者的结局产生不利影响。