如何监测儿童的医疗补助资格?
Gabriella Aboulafia1, Adrianna McIntyre2
1Doctoral student at Harvard University in Boston, Massachusetts.
AMA journal of ethics
|September 1, 2025
概括
由于资格审查, 儿童的医疗补助覆盖面临不稳定. 在COVID-19持续覆盖期后的新州报告提供了覆盖差距和更新流程的见解.
科学领域:
- 医疗服务研究
- 公共卫生政策
- 医疗保险
背景情况:
- 医疗补助计划是美国数百万儿童医疗保险的重要来源,
- 每年重新确定资格可能会导致受益人的覆盖率不稳定.
- 在2023年3月结束COVID-19持续覆盖任务后,医疗补助终止和更新的新州报告要求开始.
研究的目的:
- 分析各州关于医疗补助资格重新确定的初步公开报告所获得的见解.
- 确定这些新报告实践如何为了解覆盖差距和结果提供信息.
- 提议改进联邦关于重新确定过程的可操作数据的报告要求.
主要方法:
- 分析各州关于医疗补助资格的标准化指标.
- 在连续覆盖政策到期后审查终止和更新数据.
- 综合从这些新报告实践中得出的研究和政策见解.
主要成果:
- 国家报告对医疗补助资格的规模和性质提供了前所未有的洞察力.
- 这些数据有助于更好地了解覆盖范围的差距和终结的驱动因素.
- 现有的报告提供了评估重新确定过程有效性的基础.
结论:
- 公开报告医疗补助重新确定对于监测覆盖的稳定性至关重要.
- 联邦报告要求的修正可以为决策者提供更多可操作的数据.
- 改善数据收集和分析对于解决覆盖差距和确保儿童持续获得护理至关重要.
相关概念视频
Kidney Transplant III: Nursing Management
80
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
80
Documentation in Long-Term and Home Healthcare Setting
983
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
983
Holter Monitor: 24-Hour Monitoring
259
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
259
Chronic Kidney Disease IV: Nursing Management
54
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
54
Guidelines and Strategies for Safe Computer Charting
873
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
873
Methods of Documentation VI: Case Management Model
628
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
628


