智力和发育障碍者环境修改:医疗补助家庭和社区服务的政策分析
Carli Friedman1, Laura VanPuymbrouck2
1Carli Friedman, PhD, is Director of Research, The Council on Quality and Leadership, Towson, MD; cfriedman@thecouncil.org.
通过医疗补助豁免资助的环境修改支持智力和发育障碍 (IDD) 患者的独立. 本研究分析了2021财年提供的国家支出和修改类型.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 职业疗法 职业疗法 职业疗法
背景情况:
- 环境修改对于支持智力和发育障碍 (IDD) 患者日常生活活动,独立和社区生活至关重要.
- 职业治疗从业者利用环境修改作为这一群体的关键干预措施.
研究的目的:
- 调查2021财年 (FY) 在美国通过医疗补助家庭和社区服务 (HCBS) 豁免为IDD患者提供环境修改的情况.
主要方法:
- 采用混合方法的政策分析方法.
- 检查了2021财年美国Medicaid HCBS 1915 ((c) 豁免的数据.
- 分析的重点是确定对IDDs的个人提供环境修改服务的范围和性质.
主要成果:
- 在2021财年,35个州报告了12671名IDD患者的环境修改预计支出6880万美元.
- 主要目的是促进健康,福利和安全 (82.68%) 和独立 (69.29%).
- 常见的修改包括坡道/电梯 (70.08%),扩大门口 (61.42%),浴室修改 (58.27%),专门的电气/管道 (54.33%) 和抓 (53.54%).
结论:
- 医疗补助HCBS对环境修改的豁免数据提高了对职业治疗从业者的资助和支持宣传的理解.
- 扩大环境修改与HCBS一致,旨在促进IDD患者的社区整合,自决和独立.
- 调查结果帮助从业人员确定国家资金来源,并指导宣传工作,以增加获得这些重要修改的机会.
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