在儿童医疗补助计划中,州外急性护理的使用
Kenneth A Michelson1, Naveen Singamsetty2, Andrew D Skol2
1Division of Emergency Medicine, Ann & Robert Lurie Children's Hospital, Chicago, Illinois.
JAMA network open
|October 7, 2025
概括
医疗补助和儿童健康保险计划 (CHIP) 的儿童在州外急性护理的使用并不常见,但在州边境附近更为频繁. 医疗补助补偿金变化可能会影响获得跨境护理的机会.
科学领域:
- 儿科卫生服务研究 儿童卫生服务研究
- 卫生政策和健康准入
- 医疗保健利用情况 医疗保健利用情况
背景情况:
- 美国许多儿童居住在州边境附近,因为不同的州医疗补助政策使得医院接入变得复杂.
- 了解跨境医疗保健的利用对于确保在公共保险计划中注册的儿科患者平等获得医疗保健至关重要.
研究的目的:
- 评估医疗补助计划或儿童健康保险计划 (CHIP) 的儿科患者在州外急性护理使用频率.
主要方法:
- 一项横截面研究分析了2021-2022年转型医疗补助统计信息系统分析文件中16岁以下儿童的急性护理遭遇.
- 州外护理按州,城市和邮政编码进行测量,后勤回归检查了州边界距离和州外护理使用之间的关联.
主要成果:
- 在近2900万次遭遇中,2.8%发生在州外.
- 马里兰州 (15.8%),佛蒙特州 (11.7%) 和西弗吉尼亚州 (11.0%) 的州外护理率最高.
- 在农村地区和生活在州边界1英里以内 (10.0%) 的儿童中,州外护理更为常见.
结论:
- 在医疗补助和CHIP入学者中,州外急性护理的使用通常很低,但集中在州边境附近.
- 某些州和城市的跨境护理使用率很高.
- 医疗补助补偿政策的潜在变化可能会对儿童获得必要的州外医疗保健服务产生重大影响.
相关概念视频
Standards of Care I
1.0K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.0K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Documentation in Long-Term and Home Healthcare Setting
1.4K
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
1.4K
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
Pharmacokinetics in Pediatric Patients: Drug Excretion
188
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
188
Pharmacokinetics in Pediatric Patients: Drug Distribution
231
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
231


