紧急医疗补助计划是否可以改善创伤患者出院后的医疗保健服务? 一个全州的混合方法研究
Lisa Marie Knowlton1, Katherine Arnow, Zaria Cosby
1From the Stanford-Surgery Policy Improvement Research and Education Center (S-SPIRE) (L.M.K., K.A., Z.C., K.D., W.D.H., A.B.G., P.C., A.M.M., T.H.W.); and Department of Surgery (L.M.K., A.M.M.), Stanford University School of Medicine, Stanford, California.
The journal of trauma and acute care surgery
|December 20, 2024
概括
医疗补助改善了创伤患者的门诊专家访问. 然而,在导航医疗保健系统和回忆出院后的计划细节方面,仍然存在挑战.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 创伤外科 手术 创伤外科
- 卫生政策 卫生政策
背景情况:
- 医院推定资格 (HPE) 紧急医疗补助计划帮助患者支付住院费用,并可导致长期的医疗补助覆盖.
- 这项研究考察了HPE Medicaid创伤患者退院后的医疗保健利用情况,重点关注获取方便者和障碍.
研究的目的:
- 在HPE Medicaid创伤患者中描述出院后门诊医疗保健的利用情况.
- 识别新加入HPE Medicaid保险的患者获得护理的促进者和障碍.
主要方法:
- 使用加利福尼亚HPE受益人索赔数据 (2016-2021) 进行融合混合方法研究.
- 将39,677名创伤患者与其他HPE患者在出院后2个月内进行比较.
- 对20个半结构面试的定性主题分析探索了访问促进者和障碍.
主要成果:
- 与非创伤HPE患者相比,HPE创伤患者 (19.8%的HPE队列) 显示出更高的门诊专家访问率 (40.8%与36.6%) 和更高的机会 (1.18) 与非创伤HPE患者相比.
- 创伤患者的再入院率较低 (8.4%对10.2%).
- 促进者包括快速获得保险和医院支持;障碍物包括对计划细节的记忆力不足和导航困难.
结论:
- 惠普医疗补助计划与门诊专家的使用增加和创伤患者的再入院减少有关,这表明获得改善.
- 加强患者教育和参与对于优化医疗保健利用和有效导航服务至关重要.
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