"不仅仅是检查框":基于社区的组织在医疗补助重新设计中的作用
Dolma Tsering1, Claire M Stauffer2, Jordan A Gittzus3
1Yale University, Department of Health Policy and Management, New Haven, CT 06510, United States.
Health affairs scholar
|May 21, 2024
概括
纽约和马萨诸塞州的社区组织报告说,尽管优先考虑健康的社会决定因素,但在1115个医疗补助豁免中,资金和参与挑战不足. 有效的伙伴关系需要改善资金,时间和国家-社区关系.
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
- 基于社区的参与式研究
背景情况:
- 纽约和马萨诸塞州的Medicaid 1115示范豁免旨在通过参与社区组织 (CBO) 来整合健康的社会决定因素 (SDOH).
- 这些豁免旨在通过加强交付系统改革激励支付 (DSRIP) 来改善健康结果.
研究的目的:
- 评估CBOs关于他们参与1115豁免范围内的社会服务提供方面的公众意见.
- 确定CBO对改善医疗保健社区组织伙伴关系的观点,并应对实施挑战.
主要方法:
- 分析了2016年11月至2019年4月期间来自直接服务提供商的359条公开评论.
- 专注于58个评论的子集,讨论社会服务提供和医疗保健社区组织伙伴关系.
- 将发现分类为对DSRIP资金的担忧以及改善国家-医疗补助管理员与CBO关系的建议.
主要成果:
- 资源依赖的CBOs报告资金不足,影响了他们有效参与豁免倡议的能力.
- 央行确定了1115豁免的具体设计,结构和实施方面,这些方面可以加强伙伴关系.
- 尽管重点是社会服务整合,但CBOs表达了资金不足和剥夺权利的感觉.
结论:
- 需要大量的投资和国家便利,以使CBOs与医疗保健标准保持一致,并实现豁免目标.
- CBO反为改进1115豁免策略和改善其他州医疗保健社区组织合作提供了宝贵的见解.
- 解决资金缺口和改善伙伴关系结构对于医疗补助豁免范围内的SDOH举措的成功至关重要.
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