资助未来:通过CMS和CHIP保护儿科健康公平
Carlie N Myers1, Meera Rao2, Rishiraj Bandi2
1Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine Cincinnati, Cincinnati, OH, United States.
联邦政府为CMS和CHIP等儿科健康公平计划提供资金至关重要. 需要持续投资来解决差异,改善儿童健康结果,并降低弱势群体的长期医疗保健成本.
科学领域:
- 儿科健康公平性问题
- 健康的社会决定因素
- 医疗保健政策 医疗保健政策
背景情况:
- 由于结构性种族主义,贫困和获得护理的不平等,儿童健康差异仍然存在.
- 医疗保险和医疗补助服务中心 (CMS) 和儿童健康保险计划 (CHIP) 历来改善了儿科医疗保健的公平性.
- 目前对联邦资金的威胁危及解决这些差异的进展.
研究的目的:
- 检查CMS资助的针对儿童群体健康社会决定因素 (SDoH) 的干预措施.
- 分析解决获得护理,社区条件和保险覆盖的方案的有效性.
- 强调持续资助儿科健康公平倡议的重要性.
主要方法:
- 五篇文章的审查,包括四个CMS资助的干预措施.
- 对干预措施的分析,如功能家庭治疗,医院主导的喘管理,基于社区的护理参与,以及CHIP政策分析.
- 在审查的研究中确定共同的主题.
主要成果:
- 社区参与,跨部门合作和扩大保险准入改善了结果并降低了成本.
- 医疗补助的扩张降低了住院死亡率,并改善了获得康复护理的机会.
- CHIP增加了近贫困儿童的预防服务使用,但种族和地理不平等等障碍仍然存在.
结论:
- 有针对性的,基于证据的干预措施至关重要,但实施仍然有限.
- 由于资金削减,CMS和CHIP基础设施的侵蚀将加剧卫生差距.
- 政策制定者必须优先考虑为综合医疗,社会和结构解决方案提供资金,以促进儿科健康公平并降低成本.
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