缩小差距:改善无保险和不足保险者结肠直肠外科护理的方法
Erin Isenberg1,2, Calista Harbaugh2,3
1Department of General Surgery, University of Texas at Southwestern, Dallas, Texas.
缺乏医疗保险阻碍了美国患者的治疗.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 医疗保险对于在美国获得医疗保健至关重要.
- 美国缺乏全民医疗保险,许多人没有保险或保险不足.
- 不足够的保险造成了必要医疗护理的重大障碍.
研究的目的:
- 审查保险不足如何影响结肠直肠病理的临床结果.
- 讨论以证据为基础的解决方案,以改善对结直肠护理的准入.
- 确定保险设计中的研究和政策机会.
主要方法:
- 对将保险状况与临床结果联系起来的机制的文献综述.
- 分析以证据为基础的改善医疗保健准入的战略.
- 讨论对保险设计的政策影响.
主要成果:
- 不足够的保险与结直肠疾病的更差的临床结果有关.
- 解决方案包括改善保险的可负担性和可获得性.
- 缓解差异和加强医疗保健安全网是关键.
结论:
- 解决保险差距对于公平的结直肠护理至关重要.
- 需要政策和研究来改善保险设计和减少差异.
- 有针对性的宣传和量身定制的临床决策可以使弱势群体受益.
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