在俄勒冈州卫生计划下获得药物滥用治疗服务
D D Deck1, B H McFarland, J M Titus
1RMC Research Corporation, 522 SW Fifth Ave, Suite 1407, Portland, OR 97204, USA. dennis_deck@rmccorp.com
在俄勒冈州,在该州转向管理护理后,有资格获得医疗补助的个人获得公开资助的药物滥用治疗的机会增加了. 这项研究分析了治疗和资格数据,以了解获取率的变化.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 药物滥用 治疗 药物滥用 治疗
背景情况:
- 过渡到医疗补助管理护理引发了人们对获得公共资助的药物滥用治疗的担忧.
- 俄勒冈州在1995年实施了资本化化学药物依赖福利,提供了一个独特的研究机会.
研究的目的:
- 评估在俄勒冈州Medicaid管理护理实施后获得公共资助的药物滥用治疗的变化.
- 确定影响这些访问变化的因素.
主要方法:
- 对俄勒冈州健康计划入学者 (12-64岁) 的全州治疗和医疗补助资格数据的分析.
- 计算获得率 (每年接受治疗的唯一个人) 在 (1994) 和 (1997) 资本化福利之前 (1994) 和之后 (1997),并对1996年和1998年进行复制.
主要成果:
- 符合Medicaid资格的个人获得药物滥用治疗的机会从1994年的5.5%增加到1997年的7.7%.
- 1996年和1998年的接入率分别为6.9%和7.7%.
- 预付费医疗计划的特点,包括退款方法,显著预测的接入费率.
结论:
- 在俄勒冈州,有资格获得医疗补助的个人在转向管理护理后,经历了更好的药物滥用治疗.
- 医疗计划之间存在各种准入的差异,受运营因素的影响.
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