概括
智力和/或发育障碍 (IDDs) 的成年人获得医疗保健仍然很差,医疗保健专业人员的培训不足和政策不响应. COVID-19大流行加剧了这些差异,突出了改善护理模式和融资解决方案的迫切需要.
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:
- 智力和/或发育障碍 (IDDs) 的成年人经历了持续的健康差异和有限的获得高质量的医疗保健.
- 目前针对这一群体的护理模式进展缓慢,有效性数据不足.
- 美国的医疗保健专业教育不足以准备从业人员为患有IDD的成年人提供服务.
研究的目的:
- 审查对IDD成年人可访问和响应性医疗护理的持续障碍.
- 检查自2000年以来为IDD的成年人开发的医疗保健模型.
- 探索医疗补助管理护理作为一个潜在的资金解决方案来解决护理障碍.
主要方法:
- 关于IDD成年人获得医疗保健的现有文献的审查.
- 对针对IDD成年人设计的护理模型的分析.
- 检查医疗保健政策和融资机制,包括医疗补助管理护理.
主要成果:
- 在成年IDD患者获得和接受足够的医疗护理方面,仍然存在重大障碍.
- COVID-19大流行不成比例地影响了IDD的成年人,增加了发病率和死亡率.
- 目前的医疗保健政策和融资结构无法满足这一群体的需求.
结论:
- 在医疗护理获取,专业培训和IDD成年人的政策方面,迫切需要改进.
- 创新的护理模式和融资解决方案,如医疗补助管理护理,显示出希望.
- 解决系统性问题对于改善IDD成年人的健康结果至关重要.
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