Strauss Nan, Giessler Katie, McAllister Elan
J Perinat Educ. 2015;24(1):8-15. doi: 10.1891/1058-1243.24.1.8.
Doula care meets each of the triple aims of the Affordable Care Act: improving health outcomes for all, improving the experience of care, and lowering costs by reducing non-beneficial and unwanted medical interventions. Cost is the greatest barrier to use of doula support. Reimbursement for doula services by private insurance, Medicaid, and Medicaid managed care organizations would significantly increase access to doulas. Widespread availability of doula care could significantly reduce cesarean rates, and increased access to community-based doula programs could reduce entrenched health disparities.
导乐护理符合《平价医疗法案》的三大目标：改善所有人的健康状况，提升护理体验，并通过减少无益和不必要的医疗干预来降低成本。费用是获得导乐支持的最大障碍。私人保险、医疗补助计划以及医疗补助管理式医疗组织对导乐服务的报销将显著增加人们获得导乐服务的机会。导乐护理的广泛可及性可显著降低剖宫产率，而增加社区导乐项目的可及性则可减少根深蒂固的健康差距。
