食品和住房不安全,压力和医疗保健使用后医疗补助扩展服务计划计划
Anne N Thorndike1,2, Jessica L McCurley3, Yuchiao Chang1,2
1Division of General Internal Medicine, Massachusetts General Hospital, Boston.
JAMA network open
|July 8, 2025
概括
马萨诸塞州灵活服务计划 (FSP) 对医疗补助受益人的粮食不安全,住房不安全,饮食或压力没有显示短期改善. 参与者的经验各不相同,突出了社会需求干预措施的好处和挑战.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 医疗补助第1115条豁免使各州能够测试创新的医疗保健提供模式.
- 解决粮食和住房不安全问题对弱势群体至关重要.
- 社会需求干预措施对健康结果的影响需要进一步研究.
研究的目的:
- 评估马萨诸塞州灵活服务计划 (FSP) 对粮食和住房不安全的1年影响.
- 评估FSP参与者饮食质量,压力水平和急性医疗保健使用情况的变化.
- 为了比较FSP参与者和符合条件的非参与者的匹配队列之间的结果.
主要方法:
- 潜在的队列研究设计,涉及马萨诸塞州的成年医疗补助受益者.
- 在FSP参与者和倾向分数加权的非FSP参与者之间的比较.
- 测量食品不安全,住房不安全,饮食质量 (HEI-2020),压力 (PSS) 和急性医疗保健使用1年.
主要成果:
- 在FSP和非FSP群体之间的粮食不安全或住房不安全的变化中没有观察到显著的差异.
- 两组之间在饮食质量,压力水平或急性医疗保健使用方面没有发现显著差异.
- 定性访谈显示,参与者的经历各不相同,他们注意到了好处和持续的挑战.
结论:
- 马萨诸塞州灵活服务计划 (FSP) 在改善粮食安全,住房安全,饮食或压力方面没有显示短期有效性.
- 参与者的反表明,虽然FSP提供了好处,但与成本和可用性相关的挑战仍然存在.
- 需要进一步的研究,以了解长期影响,并优化医疗保健系统内的社会需求干预措施.
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