对使用Ayushman Bharat Arogya的障碍和促进因素 卡纳塔卡:混合方法研究,马卢尔,卡纳塔卡
Savinitha Prakash1, Avita R Johnson1, Nia Sebastian1
1Community Health, St John's Medical College, Bengaluru, Karnataka, India.
概括
农村地区对Ayushman Bharat Arogya Karnataka (ABArK) 医疗保险计划的认识和利用率仍然很低. 关键障碍包括移民面临的挑战和自付费用,需要改善可访问性和宣传活动.
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
- 卫生政策 卫生政策
背景情况:
- 卡纳塔克州Ayushman Bharat Arogya Karnataka (ABArK) 是一个旨在实现全民健康覆盖的政府医疗保险计划.
- 关于在农村环境中实施和利用ABArK的研究有限.
- 了解障碍和促进者对于改善医疗保健准入和降低财务负担至关重要.
研究的目的:
- 评估卡纳塔克农村地区成年人对ABArK计划的使用情况.
- 确定影响ABArK服务普及的障碍和促进者.
- 为加强ABArK实施提供基于证据的建议.
主要方法:
- 在2023年,在农村卡纳塔克邦的马卢尔,采用了混合方法方法.
- 通过对270名参与者的半结构化问卷收集的定量数据.
- 通过深入采访收集的定性数据,以探索经验和感知.
主要成果:
- 只有55%的参与者知道ABArK,而22.2%的人持有ABArK卡.
- 报告说,使用率低至10%,其中37%的用户承担了额外的费用.
- 移民的系统性障碍和自费支出被确定为重大挑战.
结论:
- 目前ABArK的利用率很低,这表明需要有针对性的干预措施.
- 建议包括提高意识,促进积极的患者体验,改善所有印度公民,特别是移民的可访问性.
- 解决系统性障碍对于实现全民医疗覆盖的计划目标至关重要.
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