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首页> 外文期刊>AIDS Research and Human Retroviruses >Facilitators and Barriers: Clients' Perspective on the Virginia AIDS Drug Assistance Program's Affordable Care Act Implementation
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Facilitators and Barriers: Clients' Perspective on the Virginia AIDS Drug Assistance Program's Affordable Care Act Implementation

机译：促进者和障碍：客户对弗吉尼亚艾滋病毒品援助计划的经济实惠的护理法案实施

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Many AIDS drug assistance programs (ADAPs) purchased Affordable Care Act (ACA) qualified health plans (QHPs) for low-income people living with HIV. To date, little has been written about this from the client perspective. The study's objective was to gain information about the experience of Virginia ADAP-funded QHP enrollment and the impact of this change. English-speaking clients who were eligible for ADAP-funded QHPs were recruited at three HIV clinics in Virginia. The goal was to enroll >= 5% of those who were eligible for ADAP-funded QHPs in two Virginia Department of Health planning districts. Participants were surveyed about demographic characteristics, and semi-structured interviews were performed. Descriptive analyses were performed for cohort characteristics. Using an open coding strategy, codebooks were generated for the interviews and themes were identified. The cohort (n = 53) met our recruitment goal. Two-thirds gained their ACA knowledge at HIV clinics from case managers and social workers. Many barriers to enrollment were identified, including internet access/literacy. Almost 9 out of 10 participants had concerns about privacy, which centered on QHP's mandated use of mail-order pharmacies. Except for medication concerns, most participants had positive perceptions of the impact of QHP enrollment on their health care. HIV clinic case managers and social workers are often the primary source of knowledge for patients about insurance options and their assistance is crucial for QHP enrollment. Our findings indicate that reducing identified barriers and addressing privacy concerns by allowing people to opt out of mail order pharmacies may encourage QHP enrollment.
机译：许多艾滋病毒品援助计划（ADAPS）购买了与艾滋病毒的低收入人民合格的护理法案（ACA）合格的健康计划（QHPS）。迄今为止，从客户角度来看，已经写了很少。该研究的目标是获取有关弗吉尼亚ADAP资助的QHP入学经验的信息以及这一变革的影响。在弗吉尼亚州的三个艾滋病毒诊所招募了符合ADAP资助QHP的英语客户。目标是注册> = 5％有资格参加适用于弗吉尼亚州卫生计划区的澳大利亚州的ADAP资助的QHP。参与者正在接受调查人口特征，并进行半结构性访谈。对队列特征进行了描述性分析。使用开放式编码策略，为访谈产生了码本并确定了主题。队列（n = 53）达到了我们的招聘目标。三分之二来自案例经理和社会工作者的艾滋病毒诊所的ACA知识。识别出许多入学障碍，包括互联网接入/识字。 10名参与者中的近9人涉及隐私，其集中在QHP的授权使用邮购药房。除药物问题外，大多数参与者对QHP入学对其医疗保健的影响的积极看法。艾滋病毒诊所案例管理人员和社会工作者通常是关于保险期权的患者的主要知识来源，他们的援助对于QHP注册至关重要。我们的调查结果表明，通过允许人们选择退出邮购药房，减少了确定的障碍和解决隐私问题可能会鼓励QHP注册。

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