関連する実験動画
Updated: Aug 8, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
ミネソタ州でまだ保険がない人は? 国家改革の取り組みから学ぶこと
1Institute for Health Services Research, School of Public Health, University of Minnesota, Minneapolis 55455, USA. callx001@gold.tc.umn.edu
JAMA
|October 27, 1997
まとめ
ミネソタケア (MinnesotaCare) は,無保険者を低水準に保ち,子どもの健康保険へのアクセスを改善しました. 国からの補助金による計画は,子供に対して効果的であったが,独身の成人に対しては効果的ではなかった.
科学分野:
- 医療サービス 研究 医療サービス
- 公共衛生政策 公共衛生政策
- 医療経済学 医療経済学
背景:
- 国家による医療改革イニシアチブは,保険の欠如に対処する上で極めて重要です.
- ミネソタケアのようなプログラムの影響を理解することは,国家政策にとって不可欠です.
- 特に脆弱な集団における無保険率の追跡は,公衆衛生戦略に情報を与えます.
研究 の 目的:
- ミネソタ州のヘルスケア改革の取り組みを評価し,無保険率とMinnesotaCare.の有効性に焦点を当てました.
- 1990年から1995年の間に,子どもの健康保険へのアクセスの変化を分析する.
- ミネソタケアのターゲット人口へのサービス提供における成功を評価し,より広範な改革への影響を評価する.
主な方法:
- 1990年,1995年,1994年に実施された3つの横断的な電話調査を利用した.
- 州全体の調査のための2段階のランダムサンプリングと,MinnesotaCareの登録者に対する階層化されたランダムサンプリングを使用した.
- 全州調査ごとに1万人を超える回答者のデータを用いて,無保険率の変化を分析した.
主要な成果:
- ミネソタ州の無保険率は,1990年から1995年にかけての6%で安定したままであり,全国的な増加とは対照的です.
- 12ヶ月以上無保険の児童の割合は大幅に減少しました (5.2%から3.1%).
- 独身成人の無保険率は,約11%で安定したままであり,プログラムゲームや民間市場の侵食の証拠は見つかりませんでした.
結論:
- ミネソタケアは低保険率を維持し,児童保険のカバーを向上させることに成功しました.
- このプログラムは,独身の成人を登録する上で効果が低いことが示されましたが,最近の拡張はこれを変更する可能性があります.
- ミネソタ州の経験は,特に子供たちのための無保険を減らすことをターゲットとした州および国家改革のモデルを提供します.
関連する概念動画
01:18Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:22Standards of Care I
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights: