感知障碍和改善医疗补助入学者的健康儿童访问的建议:一个解释性的顺序,混合方法研究
Journal of health care for the poor and underserved
|December 8, 2025
概括
许多有医疗补助的儿童错过了健康儿童访问 (WCV),影响了预防性护理. 障碍包括成本,医疗补助复杂性和物流,需要社区知情解决方案,以获得公平的机会和改善儿童健康.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 儿科 儿科 儿科
背景情况:
- 健康儿童访问 (WCV) 对于预防性医疗保健,早期干预和儿童免疫非常重要.
- 在医疗补助计划中注册的大量儿童错过了WCV,造成了医疗保健获取方面的差异.
- 以前的研究通常集中在定量或定性数据上,缺乏对障碍的全面理解.
研究的目的:
- 调查北达科他州在医疗补助计划中注册的北达科他州家庭中,在2021年错过所有WCVs的WCV出席的多方面的障碍.
- 确定阻碍WCV访问的结构性,经济和文化障碍.
- 制定社区知情的建议,以改善WCV出席率.
主要方法:
- 采用一种混合方法,以社区为基础的方法.
- 对64,364名儿童的行政数据进行分析.
- 调查对1294个家庭和40名参与者的焦点小组进行了调查.
主要成果:
- 确定了包括成本问题,医疗补助程序缺乏透明度和后勤挑战在内的重大障碍.
- 结构性,经济和文化因素被证实是WCV出席的主要障碍.
- 社区的投入突出了改善沟通和可访问性的需要.
结论:
- 解决已识别的障碍对于促进在医疗补助计划中注册的儿童平等获得WCVs至关重要.
- 建议包括加强医疗补助沟通,提供文化响应的护理,改善预约可访问性.
- 克服这些障碍可以带来更好的儿童健康结果和减少预防性护理差异.
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