护士可以成为关键的"REACH"负责任的护理组织合作伙伴,以减轻医疗保险不平等
Richard Rieselbach1, David Sundwall2
1Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI 53703, United States.
高级实践注册护士 (APRNs) 可以解决医疗保险因医生短缺而导致的不平等问题. 在REACH ACO模型中实施APRN主导的医疗保险社区诊所,扩大了服务不足的人群获得初级保健的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理政策 护理政策
- 卫生公平研究 卫生公平研究
背景情况:
- 初级保健医生的严重短缺加剧了医疗保险的不平等.
- 在卫生专业人员短缺地区的少数民族医疗保险受益者受到了不成比例的影响.
- 以前解决医生初级保健短缺问题的努力基本上没有效果.
研究的目的:
- 建议先进实践注册护士 (APRNs) 成为负责任的护理组织 (ACO) 的关键合作伙伴,以减轻医疗保险的不平等.
- 概述一个APRNs在Medicare社区诊所内提供初级保健的模型.
- 将该模型整合到修改后的"REACH" (实现公平,获取和社区健康) ACO框架中.
主要方法:
- 对解决初级保健医生短缺问题的历史举措的审查.
- 分析强调护理在实现健康公平方面的作用的报告.
- 在医疗保险社区诊所内拟议的APRN角色和修改后的REACH ACO模型的描述.
主要成果:
- APRN可以显著扩大初级保健工作人员,改善服务不足的医疗保险受益人的获取.
- 医疗保险社区诊所模型与REACH ACO集成,使护士在实现医疗保险公平方面处于中心地位.
- 这种方法提供了以价值为基础的护理,可能限制医疗保险预算.
结论:
- 在减少医疗保险不平等方面,APRNs是负责护理组织的关键合作伙伴.
- 拟议的医疗保险社区诊所模型,在修改后的REACH ACO中,可以有效地缓解初级保健短缺问题.
- 该战略促进了初级保健服务的转型,以确保所有医疗保险受益人的公平.
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