在医疗补助计划中获得围产杜拉服务:对2个州的案例分析
Cara B Safon1, Lois McCloskey2, Maria Guadalupe Estela3
1Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.
Health affairs scholar
|May 17, 2024
概括
杜拉服务的医疗补助补偿面临挑战. 关键障碍包括提供者低估,复杂的计费,政策冲突和分散的沟通,阻碍平等获得母婴健康支持.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 孕产妇和儿童的健康
背景情况:
- 杜拉服务因改善母亲和儿童健康结果而得到认可.
- 杜拉服务的医疗补助补偿仍然有限,这限制了许多人的访问.
- 了解政策促进者和障碍物对于扩大杜拉护理覆盖范围至关重要.
研究的目的:
- 探索利益相关者对辅导员的看法,以及医疗补助机构对杜拉服务补偿的障碍.
- 分析俄勒冈州 (已退款) 和马萨诸塞州 (待退款) 的杜拉相关政策.
- 确定影响杜拉服务纳入州医疗补助计划的关键主题.
主要方法:
- 这是一项质量研究,采用了对20位主要政策信息者的采访.
- 对俄勒冈州和马萨诸塞州的杜拉政策景观进行比较分析.
- 专题分析以确定信息人认知中的反复模式.
主要成果:
- 利益相关者认为必须扩大杜拉服务的获取.
- 障碍包括医疗保健提供者认为缺乏价值,复杂的计费,内部政策冲突以及政府和杜拉社区之间的分裂.
- 俄勒冈州的退款和马萨诸塞州的待办状态突出了政策实施的不同阶段.
结论:
- 公平和强大的杜拉护理政策需要解决已识别的障碍.
- 杜拉,提供者和健康倡导者之间的持续合作对于成功的医疗补助覆盖是必不可少的.
- 政策解决方案必须解决冲突并简化流程,以确保获得doula支持.
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