在纽约州协作护理医疗补助计划中,协作护理实施的障碍和促进者
Erin LePoire1, Molly Joseph2, Ashley Heald2
1University of Washington AIMS Center, Seattle, WA, USA. lepoire2@uw.edu.
BMC health services research
|April 23, 2024
概括
在纽约初级保健诊所实施协作护理模式 (CoCM) 面临的挑战是收费和报销. 强有力的领导力买入和简化的工作流程是成功采用CoCM的关键促进因素.
科学领域:
- 医疗保健提供创新 医疗保健提供创新
- 心理健康整合精神健康整合
- 初级护理研究初级护理研究
背景情况:
- 自2015年以来,纽约州一直支持初级保健诊所采用协作护理模式 (CoCM).
- 支持包括推广,培训,技术援助和医疗补助账单的机会.
- 本研究研究了CoCM实施特点和国家计划中的挑战.
研究的目的:
- 在每一个RE-AIM实施阶段描述纽约州初级保健诊所的特点.
- 确定协同医疗保健医疗补助计划的CoCM实施的障碍和促进者.
主要方法:
- 使用调查和定性访谈的混合方法方法.
- 诊所按RE-AIM (达成,有效性,采用,实施,维护) 阶段进行分类.
- 调查收集了有关人口统计,付款者组合和计费的数据;采访探讨了障碍和促进者的障碍.
主要成果:
- 在1099家诊所中,有107家完成了调查 (响应率为9.7%).
- 在RE-AIM步骤中观察到显著的人口差异.
- 采访的主要主题:计费要求,退款率和对CoCM的买入.
结论:
- 调查的人口统计数据与纽约州初级保健的预期保持一致.
- 收费和报销率被认为是障碍,特别是在纽约州的医疗补助计划中.
- 组织的参与,包括领导和提供商的理解,促进了CoCM的采用.
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