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Updated: May 7, 2025

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Published on: April 6, 2019
在医疗补助扩张和公共卫生紧急情况期间提供者能力
Jake Haselswerdt, Kristi Ressel1, Emmie Harcourt
1University of Missouri Truman School of Government and Public Affairs, 615 Locust St, E004 Locust Street Bldg, Columbia, MO 65211.
大多数密苏里州的医疗补助机构可以接受新患者,尽管招生人数增加. 实践正在通过招聘和其他变化扩大能力,这表明医疗保健系统可以在不影响医疗保健机会的情况下管理增长.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策 医疗保健政策
- 公共卫生 公共卫生
背景情况:
- 由于计划扩展和COVID-19公共卫生紧急情况,医疗补助入学人数急剧增加.
- 评估提供者能力对于在入学人数快速增长的时期保持获得护理的机会至关重要.
研究的目的:
- 评估密苏里州医疗补助服务提供商吸收新患者的能力.
- 了解医疗补助计划招生增加如何影响提供者患者负载和接受新患者的能力.
主要方法:
- 在密苏里州对250名医疗补助提供者进行了2023年的调查 (占总数的0.8%).
- 调查方法由15个提供商的早期半结构面试提供信息.
- 数据被分析使用样本百分比与95%的置信区间.
主要成果:
- 大多数医疗服务提供者报告说,自2021年以来,患者负载增加.
- 53%的个人提供者和70%的实践报告了接受额外患者的能力.
- 大都会和非大都会地区之间没有观察到容量的显著差异.
结论:
- 密苏里州的医疗保健系统似乎能够适应医疗补助招生和患者数量的显著增长.
- 医疗服务提供者的看法表明,目前的入学趋势可能不会影响到医疗服务的获取.
- 未来的研究应该调查患者的观点,并专注于农村医疗保健的获取.
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