“这是一种权衡:”瑞安·怀特对《平价医疗法案》实施的社会服务提供者的看法

IF 0.4 Q4 SOCIAL WORK Journal of HIV-AIDS & Social Services Pub Date : 2019-10-02 DOI:10.1080/15381501.2019.1676358
T. Ginossar, J. Oetzel
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引用次数: 2

摘要

患者保护和平价医疗法案(ACA)有望减少健康差距,包括艾滋病毒感染者。本研究的目的是探讨瑞安·怀特艾滋病毒/艾滋病计划社会服务提供者在医疗补助扩张的西南州的经验。对半结构化焦点小组的专题分析显示,与会者认为ACA的实施提出了不可能的官僚主义要求,并增加了角色冲突。与会者将ACA对客户的影响描述为“一种权衡”,一方面为一些客户提供更大的医疗保险,另一方面为高风险群体以及他们与客户的治疗联盟带来更多的繁文缛节和挑战。这些发现突出了在规划和实施政策变化以及衡量艾滋病毒服务质量时纳入提供者观点的重要性。
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“It’s a Trade off:” Perspectives of Ryan White Social Service Providers on the Implementation of the Affordable Care Act
Abstract The Patient Protection and Affordable Care Act (ACA) was expected to reduce health disparities, including among people living with HIV. The aim of this study was to explore experiences of Ryan White HIV/AIDS Program social service providers in a Medicaid-expansion southwestern state. Thematic analysis of semi-structured focus groups revealed that participants view the ACA implementation as posing impossible bureaucratic demands and increasing role conflict. Participants described the ACA impact on clients as “a trade off,” with greater medical coverage for some clients, along with increased red tape and challenges for at-risk groups and for their therapeutic alliance with clients. These findings highlight the importance of incorporating the perspectives of providers in planning and implementing policy changes and in measuring the quality of HIV services.
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
8
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