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相关概念视频

Standards of Care I01:22

Standards of Care I

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Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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Standards of Care II01:19

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
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Discharge Summary Forms01:31

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
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相关实验视频

Updated: Jun 22, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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在医疗补助终止期间,覆盖范围和获取权限的变化

Adrianna McIntyre1, Benjamin D Sommers1,2, Gabriella Aboulafia1

  • 1Harvard University T.H. Chan School of Public Health, Department of Health Policy and Management, Boston, Massachusetts.

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概括

八分之一的成年人在疫情时代的连续覆盖的解开期间失去了医疗补助覆盖. 失去医疗补助计划导致保险差距增加和获得护理的挑战增加,特别是由于成本.

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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
  • 健康 公平 卫生 公平

背景情况:

  • 在COVID-19公共卫生紧急情况期间暂停后,各州在2023年恢复了医疗补助资格重新确定.
  • 连续的医疗补助覆盖范围的解除引起了人们对潜在的覆盖范围损失及其对低收入人群获得护理的影响的担忧.

研究的目的:

  • 评估医疗补助终止期间在四个南方州的低收入人群中保险状况和获得护理的早期变化.
  • 确定与医疗补助损失相关的因素,并比较失去了覆盖范围的人和继续入学的人之间的护理准入和负担能力.

主要方法:

  • 从2023年9月到11月,在阿肯色州,肯塔基州,路易斯安那州和德克萨斯州进行了一项多式调研.
  • 该调查包括19至64岁的美国公民,他们的收入与联邦贫困线的138%或以下,使用随机数字拨号和基于地址的抽样.
  • 使用多变量后勤回归来评估与医疗补助损失相关的因素,并比较获得护理的机会.

主要成果:

  • 在接受了医疗补助的成年受访者中,有12.5%的受访者在调查时不再参加医疗补助,而这在各州有很大的差异.
  • 失去医疗补助覆盖的成年人中,近一半 (47.8%) 没有保险,而其他人则获得了不同形式的保险,往往有差距.
  • 失去医疗补助计划与由于成本和更大的难度而导致寻求护理的延迟增加有关.

结论:

  • 在医疗补助计划解散的六个月后,显著比例的受益人失去了覆盖范围,突出了州一级的差异.
  • 许多失去医疗补助的个人没有保险或有保险缺口,这影响了他们获得必要医疗保健的能力.
  • 该研究强调了医疗补助覆盖率和获得负担得起的医疗保健之间的关键联系,特别是在弱势,低收入人群中.