分享劳动力-公共私人伙伴关系为孕产妇健康平等
Rasheca Logendran1,2, Meghana Sai Iragavarapu3,4, Halle Tecco1
1Harvard Medical School, Boston, MA 02115, USA.
Health affairs scholar
|March 2, 2026
概括
美国的孕产妇健康危机需要创新的解决方案. 结果指数公私合作伙伴关系和政策调整可以在医疗补助计划内推进孕产妇健康公平,尽管存在财政限制.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 生物技术是生物技术.
背景情况:
- 美国正在经历一场严重的孕产妇健康危机,高死亡率和黑人,土著和农村妇女的显著差异.
- 医疗补助计划资助超过40%的美国出生,但财政压力和抵制福利扩张的阻力限制了采用新的孕产妇健康干预措施.
研究的目的:
- 检查FemTech创新的潜力和挑战,以改善医疗补助计划中的孕产妇健康公平.
- 提出一个政策框架,以便在医疗补助计划中有效地整合这些创新.
主要方法:
- 分析FemTech创新 (虚拟杜拉护理,远程患者监测,AI风险评估) 以及它们对Medicaid采用的结构性障碍.
- 检查公私伙伴关系 (PPP) 作为基于价值的孕产妇健康干预措施的模型.
主要成果:
- 在孕产妇健康领域的创新失败,更多归因于错误的激励措施,而不是技术限制.
- 结果指数的PPP提供了一个可行的策略,在财政限制下推进孕产妇健康公平.
结论:
- 建议制定一个协调的政策框架,使ARPA-H,CMS转变孕产妇健康模式和医疗补助豁免相一致.
- 该框架支持有纪律的实验,评估和可扩展的以公平为重点的技术部署,以保护孕产妇健康的收益.
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