医疗补助和新生儿护理:挑战和机遇
Emily R Miller1,2, Mark L Hudak3
1Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. emily.miller@cchmc.org.
概括
医疗补助的州差异在婴儿护理中造成不平等. 需要进行改革,以改善低收入家庭新生儿和婴儿的获取,结果和种族差异.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 儿科医疗保健 儿科医疗保健
背景情况:
- 医疗补助计划 (Medicaid) 成立于1965年,是联邦和州之间的合作伙伴关系,为低收入家庭提供医疗福利,包括孕妇和婴儿.
- 尽管它取得了成功,但州医疗补助计划在福利,提供者支付和行政程序方面存在重大差异.
- 这些差异导致了对父母和孩子的关怀的严重不平等,特别是在怀孕期间和分娩后/新生儿时期.
研究的目的:
- 审查影响新生儿和婴儿的医疗补助计划方面的问题.
- 确定导致资格和入学差距的因素.
- 检查福利,支付率的变化,以及婴儿医疗保健获得和结果的种族差异.
主要方法:
- 审查与新生儿和婴儿相关的选择医疗补助计划方面.
- 分析州一级的资格,入学,福利和支付率的变化.
- 对获得医疗保健和婴儿健康结果的种族差异的检查.
主要成果:
- 医疗补助计划的州级变化造成了婴儿护理方面的不平等.
- 资格和入学差距仍然存在,影响到获得基本医疗服务的机会.
- 在获得医疗保健和婴儿健康结果方面,种族差异显而易见.
结论:
- 医疗补助计划的结构改革是必不可少的.
- 改革可以改善新生儿和婴儿获得护理和健康结果的机会.
- 解决医疗补助计划中的不平等和种族差异对于弱势群体至关重要.
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