南ダコタ州におけるメディケイド
Narysse Nicolet1, Tiffany Bender1, Andrew L Guymon1
1University of South Dakota Sanford School of Medicine.
まとめ
南ダコタ州
科学分野:
- 公衆衛生
- 健康政策
- 医療へのアクセス
背景:
- サウスダコタ州のメディケイド資格の制限は 医療へのアクセスに大きな格差をもたらしました
- メディケイドの拡大は2022年に修正Dによって承認された.
- このプログラムは,以前は資格のない住民を対象にしています.
研究 の 目的:
- 南ダコタ州のメディケイドの 拡大の影響と課題を評価するために
- 拡大後の脆弱な集団の医療へのアクセスを評価する.
- 入学率とプログラムの有効性に影響を与える要因を特定する.
主な方法:
- 拡大後のメディケイドの登録データ分析
- 立法行動と政策変更の見直し (上院法案186,修正D,修正F).
- 登録,マーケティング,申請システム,COVID-19の"チャーン"を含む課題の評価.
主要な成果:
- サウスダコタ州住民の29,500人に 医療保険を提供しました
- 拡大により,様々な脆弱な集団の医療へのアクセスが改善されました.
- 登録は,予想より低い利用率とCOVID-19の"チャーン"効果のために課題に直面しました.
結論:
- 南ダコタ州のメディケイドの拡大は 医療へのアクセスのギャップを埋め始めました
- 実施の課題を克服し,プログラムの恩恵を最大化するために,継続的な評価は不可欠です.
- 将来のプログラムの持続可能性は,仕事の要件のような最近の政策変更によって影響を受けることがあります.
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