美国各地的初级保健提供者医疗补助参与率,2016年
Journal of health care for the poor and underserved
|July 19, 2023
概括
许多初级保健提供者不参与医疗补助计划. 对2016年医疗补助申请数据的分析显示,各州和各专业的医疗服务提供者参与率存在显著差异,这会影响患者获得医疗补助.
科学领域:
- 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
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 医疗补助计划是美国初级保健服务的重要支付者.
- 了解提供者参与是确保Medicaid受益者获得护理的关键.
- 参与率的差异可能导致医疗保健获得率的差异.
研究的目的:
- 分析初级保健提供者参与州医疗补助计划的情况.
- 确定不同提供者专业和专业的参与模式.
- 为未来有关医疗补助的研究建立基准.
主要方法:
- 利用了来自转型医疗补助统计信息系统 (T-MSIS) 的2016年医疗补助索赔数据.
- 包括来自45个州和地区的数据.
- 分析了超过60万个已识别的初级保健提供者的参与率.
主要成果:
- 2016年,18.0%的确定的初级保健提供者没有看过Medicaid患者.
- 提供者参与率因州而异,在100多名医疗补助患者中,比例从22.9%到56.1%不等.
- 参与度也因专业而异,儿科医生 (78.4%) 比执业护士 (61.2%) 有更高的参与度.
结论:
- 很大一部分初级保健提供者不参与医疗补助计划,这可能会限制受益者获得医疗补助.
- 参与的州和专业差异凸显了有针对性的干预措施的需要.
- T-MSIS数据为识别和解决医疗保健准入障碍提供了宝贵的资源.
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