照顾受益人的经验,按双重符合条件的特殊需要计划的整合水平划分
Jennifer M Mellor1,2, Peter J Cunningham3, Erin Britton4
1Department of Economics, William & Mary, Williamsburg, Virginia.
JAMA health forum
|June 7, 2024
概括
双重符合条件的特殊需要计划 (D-SNP) 具有专属一致的入学 (EAE) 改善了患者的礼貌和解决问题的能力. 然而,全面整合对护理协调和获取的好处需要进一步发展.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 管理护理管理护理
- 卫生政策 卫生政策
背景情况:
- 双重符合条件的特殊需求计划 (D-SNPs) 将医疗保险和医疗补助综合为双重受益人.
- 完全一致的招生 (EAE) 代表了D-SNP集成的最高水平.
- 了解不同D-SNP整合水平的患者体验至关重要.
研究的目的:
- 为了比较患者体验,自费支出和双重资格受益人之间的满意度.
- 评估EAE的D-SNP,没有EAE的D-SNP和传统医疗保险的受益人的结果.
主要方法:
- 使用邮件调查对弗吉尼亚州双重资格的医疗补助受益人的横截面研究.
- 样本包括1913名受益人,分层是根据EAE的D-SNPs,没有EAE的D-SNPs或传统医疗保险的入学.
- 主要结果包括自我报告的访问,护理延迟,自费支出和满意度.
主要成果:
- 与没有EAE的D-SNP相比,EAE的D-SNP显示出更高的尊重待遇的可能性,并且知道在健康问题上与谁联系.
- 在D-SNP类型和传统医疗保险之间,在获得困难,护理延迟或对护理协调和医生选择的满意度方面没有发现显著差异.
- 响应率为30.9% (共7200项调查中的2226项).
结论:
- 在医疗保险和医疗补助计划中整合行政流程提供了一些好处.
- 通过全面整合来实现全面改善护理协调和护理获取,需要额外的时间和精力.
- 需要进一步的研究来优化对双重资格受益人的完全综合护理模式.
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