通过国家医疗补助覆盖和政策改革来弥合哺乳支持的差距
Rizwana Biviji1, Jiya Mutyala2, Haniyah Syed3
1College of Health Solutions, Arizona State University, Phoenix, AZ, United States.
Translational behavioral medicine
|October 28, 2025
概括
现在有14个州通过医疗补助计划覆盖了哺乳支持服务,扩大了母乳养母亲的机会. 建议改变政策,以增加国际认证哺乳顾问 (IBCLC) 的覆盖范围,并在全国范围内提供母乳养支持.
科学领域:
- 公共卫生政策 公共卫生政策
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全面的哺乳支持对于母亲和婴儿的健康至关重要.
- 医疗补助覆盖范围的差距限制了获得哺乳服务的机会,特别是在低收入人口和有色人种社区.
- 目前的政策往往不包括国际认证哺乳顾问 (IBCLC) 的补偿.
研究的目的:
- 分析有关门诊哺乳咨询和母乳养服务的州医疗补助政策.
- 确定现有覆盖范围的州,并提供扩展建议.
主要方法:
- 从2012年1月到2024年12月对医疗补助国家计划修正案 (SPA) 进行了全面的搜索.
- 分析了19个已批准的特殊保护区,以确定州级关于哺乳保障和补偿的政策.
主要成果:
- 14个州已经修改了医疗补助计划,包括哺乳期保险.
- 八个州明确承认IBCLCs作为可计费提供商.
- 覆盖范围各不相同,一些州规定会话限制或产后限制.
结论:
- 建议对IBCLC服务实施单独的医疗补助补偿.
- 倡导确保国家资金以满足联邦匹配要求.
- 建议制定和提交SPA以扩大州医疗补助覆盖范围以支持哺乳期.
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