TAX4U试点试验:解决儿童医院环境中的物质需求
Meta van den Heuvel1,2,3, Nusrat Zaffar2,3, Bindra Shah2,3
1Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Hospital pediatrics
|June 13, 2023
概括
在儿科医院实施免费的税收服务显示出了接触弱势家庭的希望. 然而,计划资格标准需要调整,以更好地服务低收入照顾者.
科学领域:
- 儿科健康 儿科健康
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 儿童医院护理中的贫困和粮食不安全干预措施有限.
- 获得政府财政支持往往需要完成税务.
- 医疗-金融合作伙伴关系代表了新的合作,以减少财务压力和改善健康.
研究的目的:
- 评估儿童学术医院内"免税服务"的可行性.
- 探索医疗-金融伙伴关系在医疗保健环境中的潜力.
主要方法:
- 一个试点随机对照试验 (TAX4U) 在一个学术儿科医院进行.
- 符合条件的家庭被随机分配,接受"免费税务服务" (社区志愿者所得税计划 - CVITP) 或"照顾如常".
- 招聘包括一项调查,以评估家庭的资格和参与.
主要成果:
- 在140名接受调查的护理人员中,有101人 (72%) 是不符合条件的,主要是由于CVITP的标准或事先的税务申报.
- 39个家庭被随机选择;7个 (35%) 最终获得了税收干预.
- 该研究确定了满足弱势家庭特定计划纳入标准的挑战.
结论:
- 在儿科医院提供免费的税务服务可能是可行的,并且可以接触到弱势群体.
- CVITP计划的纳入标准并不完全符合研究的护理人员的需求.
- 建议对全面的医疗金融伙伴关系进行进一步的研究,以支持在医院环境中的低收入家庭.
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