Variation In State Medicaid Implementation Of The ACA: The Case Of Concurrent Care For Children.
Variation In State Medicaid Implementation Of The ACA: The Case Of Concurrent Care For Children.
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DOI：
10.1377/hlthaff.2020.01192
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发表时间：
2020-10
期刊：
影响因子：
--
通讯作者：
Lindley LC
中科院分区：
文献类型：
--
作者：
Laird J;Cozad MJ;Keim-Malpass J;Mack JW;Lindley LC
在美国，每年有超过五万五千名儿童死亡，其中很少有人在生命的最后阶段使用临终关怀。近三分之一的儿童死亡是由慢性复杂疾病造成的，这些儿童中的大多数因残疾状况或疾病严重程度而参加医疗补助。根据《平价医疗法》第2302条，医疗补助/儿童健康保险计划条例的变化要求所有州的医疗补助计划为儿童的治疗和临终关怀服务提供资金。该部分使儿科患者能够选择在临终关怀中继续治疗护理。我们检查了州一级实施的医疗补助受益人的同时照顾，并发现在美国各地的指导方针显着的变化。并行护理的实施促进了创新，但增加了儿科并行护理实施的障碍。
More than fifty-five thousand children die each year in the United States, very few of whom use hospice at the end of their lives. Nearly one-third of pediatric deaths are a result of chronic, complex conditions, and the majority of these children are enrolled in Medicaid because of disability status or the severity of their disease. Changes in Medicaid/Children’s Health Insurance Program regulations under section 2302 of the Affordable Care Act require all state Medicaid plans to finance curative and hospice services for children. The section enables the option for pediatric patients to continue curative care while enrolled in hospice. We examined state-level implementation of concurrent care for Medicaid beneficiaries and found significant variability in guidelines across the US. The implementation of concurrent care has fostered innovation, yet added barriers to how pediatric concurrent care has been implemented.
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影响因子：
1.8
作者：
Lindley, Lisa C.
通讯作者：
Lindley, Lisa C.
DOI：
10.1177/1049909116678380
发表时间：
2018-01-01
影响因子：
1.9
作者：
Lindley, Lisa C.;Edwards, Sheri L.
通讯作者：
Edwards, Sheri L.
DOI：
10.1177/1049909113494460
发表时间：
2014-08-01
影响因子：
1.9
作者：
Lindley, Lisa C.;Edwards, Sheri;Bruce, Donald J.
通讯作者：
Bruce, Donald J.
DOI：
10.1097/njh.0000000000000648
发表时间：
2020-06
期刊：
Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association
影响因子：
--
作者：
Lindley LC;Keim-Malpass J;Svynarenko R;Cozad MJ;Mack JW;Hinds PS
通讯作者：
Hinds PS
影响因子：
4.7
作者：
Kaye, Erica C.;Gattas, Melanie;Baker, Justin N.
通讯作者：
Baker, Justin N.