激励,强制执行和改善残疾人可访问的医疗保健:当前的差距和潜在的解决方案
Megan Morris1, Steve Lockhart2, Kori Eberle2
1Adult and Child Center for Health Outcomes Research and Delivery Science (ACCORDS). University of Colorado Anschutz Medical Campus, 1890 N. Revere Ct, Aurora, CO, 80045, USA; Center for Bioethics and Humanities, University of Colorado School of Medicine, 13080 E 19th Ave, Aurora, CO, 80045, USA.
联邦对可访问医疗保健的要求是不够的. 医疗保健机构需要对残疾人平等教育,并通过成本,质量和竞争来激励,以确保患者获得医疗服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 医疗保健政策 医疗保健政策
背景情况:
- 联邦要求要求在医疗保健组织 (HCO) 中为残疾患者提供可访问的护理.
- 尽管有任务,可访问的护理仍然是残疾患者面临的重大挑战.
研究的目的:
- 调查利益相关者的观点,以了解联邦对可访问护理的要求的有效性.
- 确定激励HCO为残疾患者提供可访问护理的因素.
主要方法:
- 质量研究涉及55次采访与关键告密者.
- 2019年5月至2020年8月期间进行的采访.
- 使用内容分析方法学分析数据.
主要成果:
- 现有的法律是必要的,但不足以确保可访问的护理.
- 医疗机构需要对残疾进行教育,以此作为公平问题.
- 成本,质量和竞争是HCO提供可访问护理的关键动机.
结论:
- 仅仅是联邦要求并不能保证可获得的医疗保健.
- 教育领导力和与基于市场的激励措施的调整至关重要.
- 多元化激励措施可以推动公平获得医疗保健的重大改进.
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