Louisiana State University Schools of Public Health and Medicine, New Orleans, Louisiana, USA.
Curr Opin Obstet Gynecol. 2011 Dec;23(6):471-80. doi: 10.1097/GCO.0b013e32834cdcc6.
In July 2011, in response to language in the Affordable Care Act (ACA) the Office of the Assistant Secretary for Planning and Evaluation of the US Department of Health and Human Services (HHS) tasked the Institute of Medicine (IOM) to develop a report on the clinical preventive services necessary for women. The committee proposed eight new clinical preventive service recommendations aimed at closing significant gaps in preventive healthcare. This article reviews the process, findings, and the implications for obstetrician gynecologists and other primary care clinicians. Obstetricians and gynecologists play a major role in delivering primary care to women and many of the services recommended by the Committee are part of the core set of obstetrics and gynecology services.
The women's health amendment to the ACA (Federal Register, 2010) requires that new private health plans cover - with no cost-sharing requirements - preventive healthcare services for women. Congress requested that a review be conducted to ascertain whether there were any additional needed preventive services specific to women's health that should be included.
The IOM Committee on Preventive Services for Women recommended eight clinical measures specific to women's health that should be considered for coverage without co-payment. The US Department of HHS reviewed and adopted these recommendations, and, as a result, new health plans will need to include these services as part of insurance policies with plan years beginning on or after 1 August 2012. The authors discuss the implications of the IOM recommendations on practicing clinicians and on their potential impact on women's health and well being.
2011 年 7 月，为响应平价医疗法案（ACA）中的相关语言规定，美国卫生与公众服务部（HHS）规划与评估助理部长办公室（Office of the Assistant Secretary for Planning and Evaluation）责成美国医学研究所（IOM）制定一份关于女性所需临床预防服务的报告。该委员会提出了八项新的临床预防服务建议，旨在消除预防保健方面的重大差距。本文回顾了这一过程、研究结果及其对妇产科医生和其他初级保健临床医生的影响。妇产科医生在为女性提供初级保健方面发挥着重要作用，委员会建议的许多服务都是妇产科核心服务的一部分。
ACA 的妇女健康修正案（联邦登记，2010 年）要求新的私人健康计划涵盖女性的预防保健服务，且不收取任何共付额。国会要求进行审查，以确定是否有任何其他特定于妇女健康的额外预防服务需要包括在内。
IOM 妇女预防服务委员会建议了八项具体针对女性健康的临床措施，这些措施应被视为无需共同支付费用即可获得的服务。HHS 审查并采纳了这些建议，因此，新的健康计划将需要在 2012 年 8 月 1 日或之后开始的保险计划年度中包含这些服务。作者讨论了 IOM 建议对执业临床医生的影响及其对妇女健康和福祉的潜在影响。
