协调专科护理计划使用的资金流的社区和项目级预测器
Sushmita Shoma Ghose1, Preethy George1, Howard H Goldman1
1Westat, Rockville, Maryland (Ghose, George, Ren, Zhu, Rosenblatt); University of Maryland School of Medicine, Baltimore (Goldman); Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York State Psychiatric Institute, New York City (Dixon). Dr. Dixon is Editor of the journal; Marvin Swartz was decision editor on the manuscript.
针对第一发精神病的协调专科护理 (CSC) 计划在很大程度上依赖于心理健康区块补助金 (MHBG) 的资金. 通过医疗补助和国家资源多样化资金流对可持续性至关重要.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 卫生服务管理卫生服务管理
- 精神病学流行病学 精神病学流行病学
背景情况:
- 协调专科护理 (CSC) 是一种基于证据的模型,用于治疗第一发精神病.
- 在美国,CSC的广泛实施受到可访问性问题和资金挑战的阻碍.
- 了解资金流对于CSC计划的可持续性和可扩展性至关重要.
研究的目的:
- 调查影响公共和私人资金流用于CSC计划的社区和计划层面因素.
- 在CSC计划的全国样本中识别资金来源依赖的预测因素.
主要方法:
- 美国22个州和地区的34个CSC计划的全国样本参与了.
- 作为混合方法研究的一部分,项目领导人填写了有关资金来源的问卷.
- 采用统计建模来分析项目和社区层面的资金利用预测因素.
主要成果:
- 大多数CSC项目 (59%) 报告说,精神卫生分支补助金 (MHBG) 作为其主要收入来源 (>50%).
- 年轻的项目 (≤5年) 更多地依赖MHBG资金.
- 医疗补助扩张州对医疗补助资金的依赖增加,而高收入地区使用了更多的州资金.
结论:
- 中央农业委员会计划显著依赖MHBG置土地资金.
- 医疗补助和其他国家资金来源的多样化正在发生,但需要进一步发展.
- 需要一个全面的融资策略,以减少对MHBG资金的依赖,并确保计划的可行性.
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