从医院利益相关者的角度对紧急医疗补助计划进行定性研究
Ana C Boncompagni1, Thomas J Handley2, Marzena Sasnal1
1Department of Surgery, Stanford University School of Medicine, Stanford, California; Department of Surgery, S-SPIRE Center, Stanford University School of Medicine, Stanford, California.
The Journal of surgical research
|December 12, 2023
概括
医院假设资格 (HPE) 帮助没有保险的患者获得临时的医疗补助保险. 这项研究发现,患者和系统障碍使HPE批准复杂化,突出了改善教育和宣传的需要,以提高获得护理的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 获得医疗保健 获得医疗保健 获得医疗保健
- 质量健康研究 质量健康研究
背景情况:
- 没有保险的患者面临着获得医疗保健的重大障碍,导致临床结果较差.
- 医院假设资格 (HPE) 提供临时医疗补助保险,用于紧急情况下的无保险,低收入患者.
- 维持HPE后的Medicaid覆盖需要复杂的申请流程,往往会阻碍长期获得护理.
研究的目的:
- 探索利益相关者对医院假设资格 (HPE) 申请流程和工作流程的观点.
- 确定影响HPE批准率的促进者和障碍.
- 发现改善HPE申请和审批流程的机会.
主要方法:
- 采用与参与HPE和Medicaid流程的关键利益相关者进行半结构化访谈的定性研究.
- 采访是在2021年9月至12月期间进行的.
- 用专题分析来确定关键主题和建议.
主要成果:
- 患者层面的障碍包括信息披露,移民身份,患者接触和知识差距等问题.
- 系统层面的障碍包括国家HPE门户网站的技术困难,人员不足和短期住院.
- 利益相关者建议加强教育,患者外展战略和后勤改进.
结论:
- 该研究从医院利益相关者的角度强调了HPE和随后的医疗补助申请流程中的关键障碍.
- 患者,医院和政策层面都有机会改善HPE应用和批准的成功.
- 解决这些障碍可以提高弱势无保险人群获得医疗保健的机会.
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