医疗补助政策与实现获得家庭和社区服务之间的关系
R Tamara Konetzka1, Emily Ellis2, Nadia Ghazali1
1Department of Public Health Sciences, Biological Sciences Division, The University of Chicago, Chicago, USA.
Home health care services quarterly
|January 7, 2024
概括
家庭和社区服务 (HCBS) 的医疗补助资金增加了,但国家政策的慷慨并不总是确保获得. 研究人员必须谨慎地使用政策慷慨作为老年人实际HCBS接入的代理.
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
- 老年学是一门学科.
背景情况:
- 家庭和社区服务 (HCBS) 的医疗补助资金大幅增加.
- 以前的研究经常使用国家政策慷慨作为HCBS访问的代理,假设它转化为服务使用.
- 这种假设可能不能准确地反映个人对HCBS的访问.
研究的目的:
- 评估国家医疗补助HCBS慷慨与老年人实际HCBS利用之间的关系.
- 确定政策慷慨的共同措施是否准确地预测了增加HCBS访问的可能性.
- 评估使用国家政策慷慨作为HCBS访问代理的有效性.
主要方法:
- 利用与医疗补助申请相关的调查数据进行分析.
- 专注于有潜在需要HCBS的老年人.
- 检查了州医疗补助HCBS慷慨和个人HCBS使用的各种措施之间的相关性.
主要成果:
- 几项衡量国家政策慷慨的措施显示了HCBS使用的预测能力.
- 这种预测能力主要观察到政策慷慨的实质性变化.
- 仅仅增加资金并不能保证改善对HCBS的访问.
结论:
- 州医疗补助和HCBS政策的慷慨不是实际服务获取的完美代理.
- 研究人员在使用政策慷慨来推断HCBS访问时应该谨慎.
- 确保HCBS接入需要不仅仅是增加资金;它需要有效转化为服务利用.
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