America's health care safety net: Revisiting the 2000 IOM report
America's health care safety net: Revisiting the 2000 IOM report
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DOI：
10.1377/hlthaff.26.5.1490
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发表时间：
2007-09-01
期刊：
影响因子：
9.7
通讯作者：
Baxter, Raymond J.
中科院分区：
文献类型：
--
作者：
Lewin, Marion E.;Baxter, Raymond J.
撰写2000年医学研究所关于保健安全网的报告的委员会于2006年重新召开会议，从以下几个方面反思安全网：未参保和参保不足的人数不断增加、卡特里娜飓风的后果、移民人数居高不下，以及对弱势人口的护理面临新的财政和政策压力。安全网提供者现在参与了医疗补助管理的医疗保健，但发现很难满足对特殊服务的日益增长的需求，特别是精神卫生保健和负担得起的处方药。当前的州改革和覆盖面扩大将如何影响对穷人和未参保人员的护理，这是一个关键问题。
The committee that wrote the 2000 Institute of Medicine report on the health care safety net reconvened in 2006 to reflect on the safety net from the perspective of rising numbers of uninsured and underinsured people, the aftermath of Hurricane Katrina, high immigration levels, and new fiscal and policy pressures on care for vulnerable populations. Safety-net providers now participate in Medicaid managed care but find it difficult to meet growing needs for specialty services, particularly mental health care and affordable prescription drugs. How current state reforms and coverage expansions will affect care for the poor and uninsured is a critical issue.