PDF(Pubmed)
Abstract：
Asthma affects more than 25 million Americans, including 4.2 million children. The burden of asthma disproportionately affects people enrolled in Medicaid, among other disparate groups. Improved availability and accessibility of guidelines-based treatments and services may ensure positive health outcomes for people with asthma. In this article, we provide an update to the American Lung Association\'s Asthma Guidelines-Based Care Coverage Project (the Project) to determine the extent of asthma care coverage and associated barriers in Medicaid programs for all 50 states, the District of Columbia, and Puerto Rico, and examine improvements in coverage since 2017.
Findings from the Project, representing coverage from 2016-2017, were first published in Preventing Chronic Disease in 2018. The Project was updated in 2021 to reflect the National Asthma Education and Prevention Program guidelines 2020 Expert Panel Report-3 updates, which were finalized in December 2020. It now tracks coverage for 8 areas of guidelines-based care and 7 barriers to care in Medicaid programs by reviewing publicly available plan documents and engaging with Medicaid programs to review and confirm findings.
Results from the Project, which reflect coverage in 2021-2022, show an increase in comprehensive coverage in Medicaid programs over the last 5 years. However, coverage remains inconsistent across programs, and barriers to accessing asthma care still exist.
Although substantial improvement has been made to coverage, certain gaps and barriers to care must be addressed for patients to fully benefit from guidelines-based care to manage their asthma and improve health outcomes.
Findings from the Project, representing coverage from 2016-2017, were first published in Preventing Chronic Disease in 2018. The Project was updated in 2021 to reflect the National Asthma Education and Prevention Program guidelines 2020 Expert Panel Report-3 updates, which were finalized in December 2020. It now tracks coverage for 8 areas of guidelines-based care and 7 barriers to care in Medicaid programs by reviewing publicly available plan documents and engaging with Medicaid programs to review and confirm findings.
Results from the Project, which reflect coverage in 2021-2022, show an increase in comprehensive coverage in Medicaid programs over the last 5 years. However, coverage remains inconsistent across programs, and barriers to accessing asthma care still exist.
Although substantial improvement has been made to coverage, certain gaps and barriers to care must be addressed for patients to fully benefit from guidelines-based care to manage their asthma and improve health outcomes.
摘要：
背景：哮喘影响超过2500万美国人，包括420万儿童。哮喘的负担不成比例地影响着参加医疗补助的人，在其他不同的群体中。改善基于指南的治疗和服务的可用性和可及性可以确保哮喘患者的积极健康结果。在这篇文章中,我们提供了美国肺脏协会基于哮喘指南的护理覆盖项目（该项目）的最新信息，以确定所有50个州的哮喘护理覆盖程度和医疗补助计划中的相关障碍，哥伦比亚特区,波多黎各,并检查自2017年以来覆盖范围的改进。
方法：项目的结果，代表2016-2017年的覆盖范围，于2018年首次发表在《预防慢性病》上。该项目于2021年更新，以反映国家哮喘教育和预防计划指南2020年专家小组报告-3更新，于2020年12月完成。现在，它通过审查公开可用的计划文件并与Medicaid计划接触以审查和确认调查结果，跟踪基于指南的护理的8个领域和Medicaid计划中的7个护理障碍。
结果：项目的结果，反映2021-2022年的覆盖率，显示过去5年医疗补助计划的全面覆盖率增加。然而,各项目的覆盖范围仍然不一致，获得哮喘治疗的障碍仍然存在。
结论：尽管覆盖率有了实质性的改善，必须解决护理方面的某些差距和障碍,才能使患者充分受益于基于指南的护理,从而控制哮喘并改善健康状况.
方法：项目的结果，代表2016-2017年的覆盖范围，于2018年首次发表在《预防慢性病》上。该项目于2021年更新，以反映国家哮喘教育和预防计划指南2020年专家小组报告-3更新，于2020年12月完成。现在，它通过审查公开可用的计划文件并与Medicaid计划接触以审查和确认调查结果，跟踪基于指南的护理的8个领域和Medicaid计划中的7个护理障碍。
结果：项目的结果，反映2021-2022年的覆盖率，显示过去5年医疗补助计划的全面覆盖率增加。然而,各项目的覆盖范围仍然不一致，获得哮喘治疗的障碍仍然存在。
结论：尽管覆盖率有了实质性的改善，必须解决护理方面的某些差距和障碍,才能使患者充分受益于基于指南的护理,从而控制哮喘并改善健康状况.
