340B 联邦资格医疗中心的参与和安全网参与
Elizabeth Watts1, Claire McGlave1, Nicole Quinones1
1Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis.
JAMA health forum
|October 4, 2024
概括
参与340B计划的联邦合格卫生中心 (FQHC) 显示,为弱势群体提供预防服务和护理的服务增加了. 这表明FQHCs可能会使用340B的药品折扣来资助基本的安全网服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 340B计划为安全网提供者提供药品折扣,但其对护理服务的影响各不相同.
- 虽然在医院进行了研究,但对联邦合格卫生中心 (FQHCs) 如何利用3.4亿美元的收入用于安全网护理知之甚少.
- FQHCs是340B覆盖实体中的一个重要组,为弱势群体提供服务.
研究的目的:
- 确定340B计划的参与是否与FQHC的安全网护理提供增加有关.
- 评估340亿美元收入的代理和向服务不足的患者群体提供服务之间的关系.
- 调查FQHC中340B资金用于预防和支持服务的使用情况.
主要方法:
- 一项描述性,回顾性队列研究,分析了2005-2022年1468个FQHC的数据.
- 利用了卫生资源和服务管理统一数据系统和340B门诊药房事务数据库.
- 雇员FQHC和年级固定效应,控制医疗补助扩张,数据分析时间为2023年3月至12月.
主要成果:
- 340B注册地点的增加与更高的患者数量相关,特别是在未保险和低收入人群中.
- 与增加关键预防服务的提供有关,包括艾滋病毒检测,检查,流感疫苗,巴普涂抹和戒烟咨询.
- 在研究期间,340B地点的平均年增长率为1.5.
结论:
- 调查结果表明,FQHCs可能利用340B的收入来扩大安全网护理,类似于公共医院.
- 对弱势群体的预防服务的统计显著增加.
- 结果支持对医院和非医院实体的不同340B计划改革的细微政策讨论.
更多相关视频
07:13Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
4.2K
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
1.6K
相关概念视频
Specialized Care Centers and Settings-II
717
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
717
Healthcare Agencies II
691
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
691
Standards of Care I
670
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:
670
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Specialized Care Centers and Settings-I
934
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
934
Community Based Intervention
36
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
36
