支持在不断变化的金融和保险格局中获得艾滋病毒暴露前预防
Connor Eichenwald1, Robin T Higashi2, Timothy P Hogan2,3
1University of Texas Southwestern Medical School, Dallas, Texas.
AJPM focus
|March 10, 2025
概括
减少对艾滋病毒暴露前预防药物 (PrEP) 的资金威胁到南方的社区组织. 这些团体努力为没有保险的个人提供PrEP,这影响了艾滋病毒预防工作.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 艾滋病毒暴露前预防 (PrEP) 对于减少美国艾滋病毒传播至关重要.
- 美国南部在PrEP吸收方面面临着巨大的差异,社区组织 (CBO) 服务于许多没有保险的个人.
- 近期PrEP融资机制的变化影响了CBOs提供这些基本服务的能力.
研究的目的:
- 评估改变PrEP资金对CBOs在德克萨斯州达拉斯提供服务的能力的影响.
- 了解CBOs在向没有保险的客户提供PrEP时所面临的挑战.
- 确定由CBOs提供可持续PrEP的潜在解决方案.
主要方法:
- 在德克萨斯州达拉斯召开了一次PrEP峰会,与包括CBOs在内的各种PrEP提供商进行了峰会.
- 对17名参与者进行了调查,并对14名个人进行了焦点小组.
- 评估了近期 PrEP 资金变化对 CBO 业务的影响.
主要成果:
- 减少制造商退款严重影响了CBO的财务状况和PrEP提供能力.
- 由于未偿还的护理费用,CBOs面临着难以维持未保险客户的PrEP.
- 组织将资源从外展转移到保险入学,并增加了事先授权的行政负担.
结论:
- 分断的资金流危及CBOs在高艾滋病毒发病率地区提供PrEP的能力.
- 加强CBOs之间的合作和稳定的国家资金是潜在的解决方案.
- 尽管CBOs采取了适应性战略,但金融脆弱性仍然存在.
相关概念视频
01:18Introduction To Health Care Delivery System
2.6K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.6K
01:26Sexually Transmitted Infections
255
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
255
01:10Retrovirus Life Cycles
45.5K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
45.5K
01:29Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
01:19Standards of Care II
630
Nurses bear specific legal responsibilities under several federal statutes, including:
630
01:30Health Information Technology and Healthcare Information System
786
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
786