医疗补助预释和过渡服务对被监禁人口的人口健康影响
Elizabeth T Chin1, Yiran E Liu2, C Brandon Ogbunu3
1Johns Hopkins Bloomberg School of Public Health.
The Milbank quarterly
|October 10, 2024
概括
新的医疗补助重新入境机会可能会显著增加医疗补助对被监禁者的覆盖范围,特别是在较小的农村州. 这种扩张需要对这一群体中精神疾病,C型肝炎和脏疾病的高发病率进行规划.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 各州正在通过医疗补助重新进入第1115条示范机会扩大监禁人员的预释和过渡服务.
- 了解被监禁人员的人口规模和疾病负担对于有效的服务提供至关重要.
研究的目的:
- 系统地向医疗补助管理人员通报医疗补助资格监禁人口的潜在增加.
- 提供与平民医疗补助人口相比,监禁人口中疾病患病率的数据.
主要方法:
- 对预释和过渡服务的医疗补助资格标准的分析.
- 监狱和监狱中可能符合条件的监禁人口的估计.
- 监禁和平民医疗补助人口之间的疾病患病率的比较.
主要成果:
- 较小和农村的州可能会看到最大的医疗补助覆盖率相对增加.
- 监禁人口的心理痛苦,慢性型肝炎和脏疾病的患病率高于平民医疗补助人口.
- 随着政策变革的实施,预计将有大量符合医疗补助计划的个人.
结论:
- 医疗补助重新进入机会可能会导致医疗补助入学人数大幅增加,特别是在较小的农村州.
- 监禁人口中高患病率 (精神疾病,型肝炎,脏疾病) 需要州医疗补助计划和提供者积极规划.
- 对于数据交换和服务提供基础设施的先进规划对于解决这一群体的健康需求至关重要.
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