北卡罗来纳州的医疗补助转型:早期入学者的体验
Amresh D Hanchate1, Lindsey Abdelfattah2, Deepak Palakshappa3,4,5
1Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157-1063, USA. ahanchat@wakehealth.edu.
Journal of general internal medicine
|July 24, 2023
概括
北卡罗来纳州的北卡罗来纳州.
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
- 医疗保健管理的管理
背景情况:
- 北卡罗来纳州在2021年7月1日授权160万医疗补助受益人过渡到管理护理计划.
- 这项研究调查了入学人员在过渡后的初始经历.
研究的目的:
- 评估早期入学者参与计划选择的情况.
- 评估提供者连续性和初级保健访问利用率.
- 检查为社会需求提供援助的情况.
主要方法:
- 利用了来自北卡罗来纳州西部的电子健康记录 (EHR) 和初级调查.
- 包括65岁以下的儿童和成年人,他们有连续的医疗补助计划或私人保险.
- 采用比较性中断时间序列模型来分析初级保健访问变化.
主要成果:
- 77.3%的受访者表示自动分配计划,而不是个人选择.
- 13.1%的受访者没有获得足够的过渡信息; 19.2%的受访者缺乏计划选择方面的帮助.
- 与私人保险人相比,在医疗补助计划注册者中观察到初级保健访问量减少了7.1%.
结论:
- 在过渡期间,医疗补助计划的入学者表现出有限的参与和意识.
- 这种转变与初级保健利用率的减少有关.
- 未来的政策应该加强入学者的参与,并调查医疗保健结果.
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