“It’s a Trade off:” Perspectives of Ryan White Social Service Providers on the Implementation of the Affordable Care Act

IF 0.4 Q4 SOCIAL WORK
T. Ginossar, J. Oetzel
{"title":"“It’s a Trade off:” Perspectives of Ryan White Social Service Providers on the Implementation of the Affordable Care Act","authors":"T. Ginossar, J. Oetzel","doi":"10.1080/15381501.2019.1676358","DOIUrl":null,"url":null,"abstract":"Abstract The Patient Protection and Affordable Care Act (ACA) was expected to reduce health disparities, including among people living with HIV. The aim of this study was to explore experiences of Ryan White HIV/AIDS Program social service providers in a Medicaid-expansion southwestern state. Thematic analysis of semi-structured focus groups revealed that participants view the ACA implementation as posing impossible bureaucratic demands and increasing role conflict. Participants described the ACA impact on clients as “a trade off,” with greater medical coverage for some clients, along with increased red tape and challenges for at-risk groups and for their therapeutic alliance with clients. These findings highlight the importance of incorporating the perspectives of providers in planning and implementing policy changes and in measuring the quality of HIV services.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1676358","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of HIV-AIDS & Social Services","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/15381501.2019.1676358","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SOCIAL WORK","Score":null,"Total":0}
引用次数: 2

Abstract

Abstract The Patient Protection and Affordable Care Act (ACA) was expected to reduce health disparities, including among people living with HIV. The aim of this study was to explore experiences of Ryan White HIV/AIDS Program social service providers in a Medicaid-expansion southwestern state. Thematic analysis of semi-structured focus groups revealed that participants view the ACA implementation as posing impossible bureaucratic demands and increasing role conflict. Participants described the ACA impact on clients as “a trade off,” with greater medical coverage for some clients, along with increased red tape and challenges for at-risk groups and for their therapeutic alliance with clients. These findings highlight the importance of incorporating the perspectives of providers in planning and implementing policy changes and in measuring the quality of HIV services.
“这是一种权衡:”瑞安·怀特对《平价医疗法案》实施的社会服务提供者的看法
患者保护和平价医疗法案(ACA)有望减少健康差距,包括艾滋病毒感染者。本研究的目的是探讨瑞安·怀特艾滋病毒/艾滋病计划社会服务提供者在医疗补助扩张的西南州的经验。对半结构化焦点小组的专题分析显示,与会者认为ACA的实施提出了不可能的官僚主义要求,并增加了角色冲突。与会者将ACA对客户的影响描述为“一种权衡”,一方面为一些客户提供更大的医疗保险,另一方面为高风险群体以及他们与客户的治疗联盟带来更多的繁文缛节和挑战。这些发现突出了在规划和实施政策变化以及衡量艾滋病毒服务质量时纳入提供者观点的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.60
自引率
0.00%
发文量
8
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信