扩大新泽西分娩中心接入的金融障碍:定性主题分析
Rebecca H Ofrane1, Slawa Rokicki2, Leslie Kantor2
1Department of Public Health, Montclair State University, College for Community Health, Montclair, New Jersey.
Journal of midwifery & women's health
|January 10, 2025
概括
财政障碍阻碍了新泽西州独立生育中心的进入. 解决医疗补助补偿金低和成本高的问题可以改善所有人口的孕产妇健康和分娩选择.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健的可访问性 医疗保健的可访问性
- 医疗保健服务研究 医疗服务研究
背景情况:
- 出生中心提供了改善的出生体验,但面临着可持续性挑战.
- 助产士的护理模式强调低风险怀孕的生理分娩.
- 财政障碍不成比例地影响了新泽西州的独立分娩中心和边缘化人口.
研究的目的:
- 为了探索影响新泽西州独立出生中心可访问性的财务障碍.
- 确定扩大获得非医院分娩选项的策略.
- 为改善孕产妇医疗保健选择提供政策信息.
主要方法:
- 使用半结构面试进行的定性研究.
- 来自分娩中心,慈善事业,州政府部门和医疗保险部门的参与者.
- 进行反思性的专题分析,以确定主要的金融障碍.
主要成果:
- 低设施医疗补助补偿费率是主要障碍.
- 高的启动和运营成本阻碍了可持续性.
- 间接障碍包括有限的助产士供应和患者需求.
结论:
- 新泽西州可以实施政策,加强出院分娩中心的准入.
- 建议支持改善孕产妇健康和公平生育中心的可持续性.
- 这项研究为其他寻求类似解决方案的州提供了一个模型.
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