医疗补助计划覆盖常规足部护理
Thomas W Brewer1, Bethany G Lanese1, Chia-Ding Shih2
1*Kent State University College of Public Health, Kent, OH.
Journal of the American Podiatric Medical Association
|July 18, 2023
概括
医疗补助 (Medicaid) 对足科医疗服务的覆盖范围在各州之间有很大差异,这为处于风险阶段的个人预防性足部护理造成了障碍. 建议对覆盖范围和医生定义进行标准化,以确保公平获取.
科学领域:
- 足部医学是一门专业.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 国家和国际指导方针倡导足科医疗服务,以预防下肢并发症,特别是在高风险人群中.
- 目前美国各州的医疗补助计划对足科医疗服务的覆盖范围不一致,造成了预防性足部护理的差异.
- 州医疗补助计划的变化对寻求必要足部护理的弱势群体构成障碍.
研究的目的:
- 为了分析州医疗补助覆盖面对常规足科医疗服务的情况.
- 在不同州的医疗补助计划中识别覆盖范围和资格标准的差异.
- 为"常规"足科医疗服务提供临床视角,并审查各州的具体覆盖范围.
主要方法:
- 对州医疗补助计划进行了一项全国性调查.
- 收集和分析了由足科医生提供的常规足部护理保险计划的数据.
主要成果:
- 在描述预防性足部护理服务方面,国家层面存在显著的差异.
- 在覆盖水平,患者资格和足部护理的记录方法方面发现了差异.
- 目前的覆盖状况是分散的,缺乏统一性.
结论:
- 医疗补助计划对足疗服务的覆盖范围应标准化,以与其他联邦卫生计划保持一致.
- 足科医生应该明确地纳入"医生"的定义,以获得医疗补助计划的覆盖.
- 各国应采用准确反映足科医疗服务预防性质的术语,超越"常规".
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