Diabetes and Hypertension Prevention and Control in Community Health Centers: Impact of the Affordable Care Act.
Diabetes and Hypertension Prevention and Control in Community Health Centers: Impact of the Affordable Care Act.
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DOI：
10.1177/21501319231195697
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发表时间：
2023-01
影响因子：
3.6
通讯作者：
Devoe, Jennifer E.
中科院分区：
文献类型：
--
作者：
Huguet, Nathalie;Green, Beverly B.;Larson, Annie E.;Moreno, Laura;Devoe, Jennifer E.
在实施《病人保护和负担得起的医疗法》之后，获得医疗服务的机会大大改善。自实施以来，没有保险的美国人数量显着减少。医疗补助的扩大在社区卫生中心发挥了重要作用，这些中心为历史上边缘化的人群提供服务，从而增加了诊所收入，并改善了获得护理的机会。随着大流行期间建立的连续医疗补助登记规定的结束，各州必须就其计划资格作出决定，探索医疗补助扩大对高血压和糖尿病的检测和管理的影响可以为这些决定提供信息。我们从现有文献中总结了医疗补助扩展对社区卫生中心及其高血压和糖尿病患者的影响。这些研究表明，《平价医疗法案》和购买保险对在社区卫生中心接受护理的患者的糖尿病和高血压疾病检测、治疗和控制产生了有益的影响。总的来说，这些研究表明，健康保险的覆盖范围，特别是保险的稳定性，对糖尿病和高血压控制的明显重要性。
Access to care significantly improved following the implementation of the Patient Protection and Affordable Care Act. Since its implementation, the number of uninsured Americans has significantly decreased. Medicaid expansion played an important role in community health centers, who serve historically marginalized populations, leading to increased clinic revenue, and improved access to care. As the continuous Medicaid enrollment provision established during the pandemic ended, and states have to make decisions about their program eligibility, exploring the impact of Medicaid expansion on the detection, and management of hypertension and diabetes could inform these decisions. We summarized the effect of Medicaid expansion on community health centers and their patients specific to hypertension and diabetes from existing literature. These studies suggest the beneficial impact of the Affordable Care Act and acquiring insurance on diabetes and hypertension disease detection, treatment, and control for patients receiving care in community health centers. Overall, these studies suggest the clear importance of health insurance coverage, and notably insurance stability, on diabetes and hypertension control.
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新的高血压和糖尿病诊断后，可负担得起的医疗补助法扩展。
影响因子：
6.1
作者：
Angier H;Huguet N;Ezekiel-Herrera D;Marino M;Schmidt T;Green BB;DeVoe JE
通讯作者：
DeVoe JE
影响因子：
9.7
作者：
Cole, Megan B.;Galarraga, Omar;Trivedi, Amal N.
通讯作者：
Trivedi, Amal N.
DOI：
10.3122/jabfm.2019.06.190087
发表时间：
2019-11-01
影响因子：
2.9
作者：
Huguet, Nathalie;Angier, Heather;DeVoe, Jennifer E.
通讯作者：
DeVoe, Jennifer E.
影响因子：
9.7
作者：
Hanson, Caroline;Hou, Claire;Minicozzi, Alexandra
通讯作者：
Minicozzi, Alexandra
影响因子：
3.2
作者：
Hatch, Brigit;Hoopes, Megan;Darney, Blair G.;Marino, Miguel;Templeton, Anna Rose;Schmidt, Teresa;Cottrell, Erika
通讯作者：
Cottrell, Erika