通过社区护理中心在医疗补助中提供公平和社会护理
1https://ror.org/007tn5k56Seton Hall Law School, Newark, United States.
American journal of law & medicine
|February 17, 2026
概括
医疗补助改革旨在通过整合社会护理来解决健康不平等问题,但面临着挑战. 基于价值的支付和社区护理中心在连接弱势群体的医疗和社会服务方面表现有前途.
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
- 健康的社会决定因素
背景情况:
- 医疗补助计划服务于具有重大健康不平等和社会需求的弱势群体.
- 最近的医疗补助改革在解决这些需求方面显示出不同的结果.
- 基于价值的支付模式正在商业保险中出现,可以适应医疗补助.
研究的目的:
- 评估扩大医疗补助超越医疗保险到更广泛的健康保险计划的优点和陷.
- 探索社区护理中心在将社会护理纳入医疗补助计划中的作用.
- 识别将社会护理纳入医疗补助计划中的障碍.
主要方法:
- 对医疗补助改革和基于价值的支付模式的分析.
- 检查社区护理中心作为中介机构的作用.
- 讨论政策影响和潜在障碍.
主要成果:
- 基于价值的支付可以将医疗服务与社会护理联系起来,例如住房和营养支持.
- 社区护理中心促进社区组织与付款人/提供者之间的联系.
- 障碍包括医疗化社会问题和转移联邦政策优先事项的风险.
结论:
- 调整医疗补助到更广泛的医疗保险模式需要仔细考虑基于价值的支付和社会护理整合.
- 社区护理中心是改善医疗补助计划内的社会护理提供的一个有希望的策略.
- 解决潜在的陷和政策转变对于成功实施至关重要.
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