在家庭和社区服务中为智力和发育残疾人提供交通服务
1Director of Research, The Council on Quality and Leadership (CQL), 100 West Road, Suite 300, Towson, MD, 21204, USA.
Disability and health journal
|September 22, 2024
概括
医疗补助家庭和社区服务 (HCBS) 豁免为智力和发育障碍 (IDD) 的人提供交通服务. 然而,服务交付的变化可能会导致未得到满足的需求和差异.
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.
- 公共卫生政策 公共卫生政策
背景情况:
- 交通对于智力和发育障碍 (IDD) 患者的健康,生活质量和社区融入至关重要.
- 对于许多IDD患者来说,获得交通工具仍然是一个重要的未满足需求.
研究的目的:
- 分析国家医疗补助家庭和社区服务 (HCBS) 计划如何为IDD患者提供非医疗运输.
- 在这些计划中确定提供运输服务的方法和范围.
主要方法:
- 2021财年医疗补助HCBS 1915的内容分析 (c) 全国范围内对IDD患者的豁免.
- 用描述性统计数据对运输服务分配进行了分类和量化.
主要成果:
- 所有44个州和华盛顿特区都为IDD提供HCBS豁免,在2021财年提供运输服务.
- 交通是作为独立服务提供或嵌入其他服务,如住宅康复 (26.70%),支持就业 (19.44%) 和日间康复 (18.44%).
- 33个州提供了145个独立的运输服务,预计将为261,109个人花费7.8亿7千1百78万美元.
结论:
- 医疗补助HCBS豁免对于促进IDD患者的运输至关重要.
- 交通运输供应在州一级的显著差异可能会造成差异,使需求无法满足.
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