Health Aff (Millwood). 2014 Mar;33(3):394-400. doi: 10.1377/hlthaff.2013.1297.
With the implementation of the Affordable Care Act (ACA) under way, some policy makers have questioned the continued relevance of the Ryan White HIV/AIDS Program as a safety net for people living with HIV/AIDS. We surveyed HIV care providers to understand the role of the Ryan White Program and to identify concerns regarding the ACA implementation. We also addressed whether the program is still relevant after ACA implementation and, if so, what elements should be retained. We found that providers consider the Ryan White Program to be critical in facilitating high-quality care for people living with HIV/AIDS. Most of the providers highlighted the program's support for providing medical and nonmedical case management as especially valuable and important to the entire continuum of care and for all patient subpopulations. Whether care is supplied by the Ryan White Program, Medicaid, or other means, our findings suggest that case management services will remain critical in treating HIV/AIDS as the health care landscape continues to evolve.
随着平价医疗法案(ACA)的实施,一些政策制定者质疑瑞安·怀特艾滋病毒/艾滋病计划(Ryan White HIV/AIDS Program)作为艾滋病毒/艾滋病感染者的安全网是否仍然具有相关性。我们调查了艾滋病毒护理提供者,以了解瑞安·怀特计划的作用,并确定对 ACA 实施的担忧。我们还讨论了该计划在 ACA 实施后是否仍然相关,如果相关,哪些要素应该保留。我们发现,提供者认为瑞安·怀特计划对于促进艾滋病毒感染者的高质量护理至关重要。大多数提供者强调该计划在整个护理连续体中以及对所有患者亚群提供医疗和非医疗个案管理的支持特别有价值和重要。无论护理是由瑞安·怀特计划、医疗补助计划还是其他方式提供,我们的研究结果表明,随着医疗保健领域的不断发展,个案管理服务对于治疗艾滋病毒/艾滋病仍将至关重要。