弗吉尼亚州的医疗补助受益人提供杜拉服务:获取,使用和政策教训
Desirae Leaphart Mensah1, Alison E Cuellar1
1College of Public Health, George Mason University, Fairfax, VA 22030, United States.
Health affairs scholar
|January 15, 2026
概括
弗吉尼亚 弗吉尼亚 弗吉尼亚
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 杜拉的支持被认为有助于改善母亲的健康状况.
- 医疗补助计划越来越多地覆盖了杜拉服务.
- 有效实施是最大化效益的关键.
研究的目的:
- 评估弗吉尼亚州的医疗补助杜拉政策的实施情况.
- 识别杜拉护理获得和利用障碍物和促进者的障碍.
- 提取政策教训,以改善杜拉服务的提供.
主要方法:
- 混合方法方法结合行政数据 (医疗补助申请,杜拉登记) 和定性访谈.
- 对2022年1月至2024年12月的医疗补助申请数据的分析.
- 与9名医疗补助计划注册的杜拉提供者进行了定性采访.
主要成果:
- 在医疗补助受益者中,杜拉服务的使用率低 (<1%).
- 只有不到一半的认证杜拉向医疗补助公司收费,主要是产后护理.
- 杜拉可用性的地理差异,在需要高的地区缺乏.
结论:
- 弗吉尼亚州的医疗补助杜拉政策实施在获取和利用方面面临挑战.
- 政策建议包括修改补偿,在服务不足的地区招聘杜拉,并加强外展.
- 加强杜拉政策可以改善杜拉劳动力,并扩大受益人获得护理的机会.
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