使用新的方法跟踪初级保健临床医生参与医疗补助的变化
Mandar Bodas1, Qian Luo1, Anushree Vichare1
1Fitzhugh Mullan Institute for Health Workforce Equity, Department of Health Policy and Management, Milken Institute of Public Health, George Washington University, Washington, DC 20052, USA.
许多初级保健医生在2016-2019年间经历了医疗补助患者数量的显著变化. 稳定的参与对于确保Medicaid注册人员获得护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健经济学 医疗保健经济学
背景情况:
- 由于临床医师参与率波动,医疗补助受益人面临医疗保健获取挑战.
- 了解初级保健临床医生与Medicaid的接触趋势对于医疗保健政策至关重要.
研究的目的:
- 分析从2016年到2019年初级保健临床医生与医疗补助计划的参与的演变.
- 为了确定与医疗医生服务的医疗补助入学人数变化相关的因素.
主要方法:
- 变形医疗补助统计信息系统分析文件 (TAF) 数据的纵向分析.
- 检查了40个州的220,665名临床医生为独特的医疗补助入学者提供服务的年度变化.
- 定义主要变化超过基线入学人数的90%和评估与临床医生,实践和状态特征的关联.
主要成果:
- 大约60%的临床医生保持了稳定的Medicaid注册人数.
- 近20%的临床医生经历了患者体积的大幅增加或减少.
- 较高的基线体积和社区卫生中心的附属性与稳定性相关;农村环境与较高的重大下降概率有关.
结论:
- 医疗补助 (Medicaid) 临床医师的参与是动态的,显著的比例经历了重大转变.
- 支持持续的临床医生参与和稳定的提供者网络的政策对于保障获得护理的机会至关重要.
- 在潜在的医疗补助资金和资格变化中,监测参与趋势至关重要.
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