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2010 年患者保护与平价医疗法案:概述、分析及为急诊医学学者倡导的机会

Patient Protection and Affordable Care Act of 2010: summary, analysis, and opportunities for advocacy for the academic emergency physician.

机构信息

Department of Emergency Medicine at Carolinas Medical Center, Charlotte, NC, USA.

出版信息

Acad Emerg Med. 2010 Jul;17(7):e69-74. doi: 10.1111/j.1553-2712.2010.00802.x.

Abstract

The Patient Protection and Affordable Care Bill, commonly referred to as the "Health Care Bill" or the "Health Care Reform Bill," was enacted in March 2010. This article is a review and analysis of the sections of this Act that are relevant to researchers and teachers of emergency care. The purpose of this document is to serve as a citable reference for interested parties and a reference to quickly locate the sections of the Bill relevant to academic emergency physicians. When appropriate, text was copied verbatim from the Bill. The source of the downloaded Act, and the page numbers of the text sections, are provided to help the reader to find the sections described. This review is presented in two parts. Part I presents 11 sections extirpated from the Act, with short interpretations of the significance of each section. Part II presents an analysis of the sections that the authors believe represent opportunities for emergency care researchers and teachers to make the most impact, through active involvement with the various departments and agencies of the federal government that will be charged with interpreting and implementing this Act. The Act contains sections that could lead to new funding opportunities for research in emergency care, especially for comparative clinical trials and clinical studies that focus on integration and efficiency of health care delivery. The Act will establish several new institutes, centers, and committees that will create policies highly relevant to emergency care. The authors conclude that this Act can be expected to have a profound influence on research and training in emergency care.

摘要

《患者保护与平价医疗法案》,通常被称为“医改法案”或“医保改革法案”,于 2010 年 3 月颁布。本文是对该法案中与急诊医护人员研究和教学相关部分的回顾和分析。本文旨在为利益相关者提供可引用的参考文献,并为快速定位与学术急诊医师相关的法案部分提供参考。在适当的情况下,法案文本是从法案中逐字复制的。提供下载法案的来源和法案文本部分的页码,以帮助读者找到所描述的部分。本综述分为两部分。第一部分从法案中提取了 11 个部分,并对每个部分的重要性进行了简短的解释。第二部分分析了作者认为代表了急诊护理研究人员和教师通过积极参与负责解释和执行该法案的联邦政府各部门和机构,从而最有影响力的部分。该法案包含了可能为急诊护理研究带来新的资金机会的部分,特别是针对医疗服务提供的整合和效率的比较临床试验和临床研究。该法案将设立若干新的研究所、中心和委员会,制定与急诊护理高度相关的政策。作者得出结论,预计该法案将对急诊护理的研究和培训产生深远影响。

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