Healthcare Reform and Concurrent Curative Care for Terminally Ill Children A Policy Analysis
Healthcare Reform and Concurrent Curative Care for Terminally Ill Children A Policy Analysis
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DOI：
10.1097/njh.0b013e318202e308
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发表时间：
2011-03-01
影响因子：
1.8
通讯作者：
Lindley, Lisa C.
中科院分区：
文献类型：
--
作者：
Lindley, Lisa C.
在2010年的《患者保护和平价医疗法案》或医疗改革中，有一项相对较小的条款，涉及对绝症儿童有重大影响的同时治疗。自2010年3月23日起，参加医疗补助或州儿童健康保险计划临终关怀福利的绝症儿童，可以同时接受与其晚期健康状况相关的治疗。本文的目的是通过审查政策的预期目标，对同时进行的治疗护理立法进行政策分析，目的是改善绝症儿童获得护理的机会，提高临终关怀的质量。此外，政策分析还探讨了在州一级实施同时治疗的政治可行性。根据这一政策分析，为儿童提供同时治疗护理的联邦政策总体上将实现其预期目标。然而，重要的政策遗漏将注意力集中在需要为儿童制定进一步的联邦临终关怀立法。这些发现对护士有影响。
Within the Patient Protection and Affordable Care Act of 2010 or healthcare reform is a relatively small provision about concurrent curative care that significantly affects terminally ill children. Effective on March 23, 2010, terminally ill children, who are enrolled in a Medicaid or state Children's Health Insurance Plans hospice benefit, may concurrently receive curative care related to their terminal health condition. The purpose of this article was to conduct a policy analysis of the concurrent curative care legislation by examining the intended goals of the policy to improve access to care and enhance quality of end-of-life care for terminally ill children. In addition, the policy analysis explored the political feasibility of implementing concurrent curative care at the state level. Based on this policy analysis, the federal policy of concurrent curative care for children would generally achieve its intended goals. However, important policy omissions focus attention on the need for further federal end-of-life care legislation for children. These findings have implications nurses.