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利益相关者分析:医疗保险糖尿病预防计划的认识和实施
Melanie T Turk1, Natalie D Ritchie, Karen Jakub
1Duquesne University School of Nursing, 518 Fisher Hall, 600 Forbes Ave, Pittsburgh, PA 15282.
The American journal of managed care
|June 21, 2023
概括
有限医疗保险糖尿病预防计划 (MDPP) 的采用需要了解实施障碍. 利益相关者发现了财务限制和转介问题,建议电子医疗记录集成和虚拟交付以改善老年人的访问.
科学领域:
- 实施科学 实施科学
- 医疗服务研究 医疗服务研究
- 公共卫生计划评估评估
背景情况:
- 医疗保险糖尿病预防计划 (MDPP) 为老年人提供重要的行为改变支持.
- 全国范围内的计划吸收率低 (每10万受益者1.5个站点) 阻碍了其对公共卫生的影响.
- 了解促进者和障碍者对于提高MDPP的覆盖和利用至关重要.
研究的目的:
- 确定在宾夕法尼亚州西部实施和使用医疗保险糖尿病预防计划 (MDPP) 的促进者和障碍.
- 收集利益相关者的观点,以提高MDPP的可访问性和有效性.
主要方法:
- 定性利益相关者分析,包括与MDPP供应商和医疗保健提供商的个人访谈 (N=8).
- 使用实施科学框架和数据分析的解释性描述.
- 探讨了关于计划属性的观点,实施挑战和建议改进.
主要成果:
- 关键的促进者包括医疗保险的技术支持和程序应用的网络研讨会.
- 发现的重大障碍是财政补偿的限制和缺乏系统的患者转诊流程.
- 利益相关者建议改进参与者资格,基于绩效的支付,EHR集成的推和虚拟交付选项.
结论:
- 结果为改善宾夕法尼亚州西部的MDPP实施提供了可操作的见解.
- 建议可以为医疗保险政策调整和未来的实施研究提供信息,以便在国家范围内更广泛地采用.
- 解决已识别的障碍对于增加医疗保险糖尿病预防计划的覆盖范围和影响至关重要.
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