在医疗补助政策制定中扩大社区视角:来自北卡罗来纳州的发现
Sara Debab1, Samantha Repka2, Katie Huber2
1Duke-Margolis Institute for Health Policy, Washington, DC 20004, USA.
Health affairs scholar
|February 19, 2026
概括
社区反对于医疗补助政策改革至关重要. 北卡罗来纳州的领导人和会员强调了获得服务,经历耻辱和导航系统的挑战,强调需要针对性改革来改善受益者健康.
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
- 定性研究方法 定性研究方法
背景情况:
- 联邦和州的政策变化对医疗补助有重大影响.
- 整合社区反对于有效的医疗补助政策制定至关重要.
- 了解受益者需求是促进健康和福祉的关键.
研究的目的:
- 确定北卡罗来纳州的医疗补助受益人的愿望,需求和经验.
- 收集社区领袖和成员关于医疗补助服务的见解.
- 以社区的角度为医疗补助政策制定提供信息.
主要方法:
- 使用半结构面试和焦点小组进行定性研究.
- 从4个社区组织领导人和37个社区成员收集的数据.
- 快速定性分析以确定关键主题.
主要成果:
- 六个主题出现了:获得医疗补助的挑战,解决与健康相关的社会需求,提供者访问,耻辱和歧视,通过协调系统导航和社区参与.
- 社区领导人和成员提供了有关健康障碍和促进因素的可操作的见解.
- 确定了改进系统导航和减少临床环境中的耻辱感的需求.
结论:
- 社区的观点至关重要,并且在医疗补助政策制定中经常被低估.
- 医疗补助机构必须调整改革以纳入社区反.
- 在政策变化期间,解决确定的需求对于保持受益者的健康和福祉至关重要.
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