Factors Influencing the Implementation of Health Care Reform: An Examination of the Concurrent Care for Children Provision
Factors Influencing the Implementation of Health Care Reform: An Examination of the Concurrent Care for Children Provision
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DOI：
10.1177/1049909113494460
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发表时间：
2014-08-01
影响因子：
1.9
通讯作者：
Bruce, Donald J.
中科院分区：
文献类型：
--
作者：
Lindley, Lisa C.;Edwards, Sheri;Bruce, Donald J.
在2013年总统连任之后，各州现在面临着实施医疗保健改革的现实，包括ACA第2302条（儿童并发护理）。我们的研究目的是探讨经济，政治和法律的因素对国家实施ACA 2302的影响。使用2010年至2012年的数据，我们的分析显示，对于早期实施者，经济，政治或法律的因素并没有影响ACA 2302的实施。2011年，参与医疗补助成本控制工作的州更有可能实施ACA 2302，而在2012年，经历预算危机的州不太可能实施ACA 2302。我们的研究结果表明，ACA 2302的州一级实施可能是未来医疗改革实施的重要风向标。
In the wake of the 2013 Presidential reelection, states now face the reality of implementing the healthcare reform, including ACA section 2302 (Concurrent Care for Children). The purpose of our study was to examine the influence of economic, political, and legal factors on state implementation of ACA 2302. Using data from 2010 to 2012, our analysis revealed that for early implementers economic, political or legal factors did not influence implementation of ACA 2302. In 2011, states that were engaged in Medicaid cost containment efforts were more likely to implement ACA 2302 and in 2012, states experiencing a budgetary crisis were less likely to implement ACA 2302. Our findings suggest that state-level implementation of ACA 2302 may be an important bellwether for future healthcare reform implementations.