与儿科医生参与北卡罗来纳州医疗补助计划相关的因素
P A Margolis1, R L Cook, J A Earp
1Department of Pediatrics, School of Medicine, University of North Carolina, Chapel Hill 27599-7490.
JAMA
|April 8, 1992
概括
儿科医生参与医疗补助受社区资源和实践规范的影响,而不仅仅是补偿. 改善接入需要解决知识差距和社区支持,因为增加医疗补助支付本身的影响有限.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科 儿科 儿科
- 公共卫生政策 公共卫生政策
背景情况:
- 儿科医生参与医疗补助计划对于确保服务不足的儿童获得护理至关重要.
- 影响儿科医生参与医疗补助计划的决定的因素需要进一步调查.
研究的目的:
- 确定影响儿科医生参与北卡罗来纳州医疗补助计划的各种因素的相对重要性.
主要方法:
- 一份问卷调查分发给北卡罗来纳州的非学术初级保健儿科医生.
- 这项研究评估了儿童医生限制医疗补助病人的比例,并分析了影响因素.
主要成果:
- 百分之二十九的儿科医生限制了医疗补助患者的访问,城市地区的比例更高.
- 医疗补助补偿,社区资源,儿科医生态度和感知到的工作量显著影响了参与.
- 对于医疗补助补偿金知识较少的儿科医生更有可能限制访问.
结论:
- 儿科医生参与医疗补助计划是复杂的,受到社区资源,经济因素和实践规范的影响.
- 仅仅提高医疗补助补偿金就会带来适度的改善;战略还应该专注于教育和社区医生参与.
- 解决儿科医生的知识和看法对于改善医疗补助参与率至关重要.
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