在青少年心理健康系统中实施基于证据的治疗策略的融资前景
Maddison N North, Alex R Dopp1, Jane F Silovsky
1RAND Corporation, 1776 Main Street, Santa Monica, CA, 90401, USA, adopp@rand.org.
The journal of mental health policy and economics
|September 29, 2023
概括
在青少年心理健康方面,基于证据的治疗 (EBT) 的融资策略是不够的,专家们往往不知道有哪些选择. 除了资金,还需要进行系统性改革,以改善儿童和青少年获得心理健康护理的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿童和青少年心理健康 儿童和青少年心理健康
- 卫生政策和管理卫生政策和管理
背景情况:
- 基于证据的治疗 (EBT) 对儿童和青少年心理健康至关重要.
- 实施和维持EBT的高成本对心理健康机构构成障碍.
- 融资策略对于克服EBT的成本相关障碍至关重要.
研究的目的:
- 了解青少年心理健康决策者对EBT融资策略关键特征的看法.
- 在服务,资金和中介代表之间比较融资策略的观点.
主要方法:
- 调查对美国青年心理健康服务机构,资助机构和中介机构的48名代表进行了调查.
- 我们收集了23种融资策略的定量评级和定性开放式响应.
- 使用描述性统计和快速内容分析分析数据.
主要成果:
- 编织融资,合同,凭证,服务费和赠款是最相关的融资策略.
- 1/3到1/2的参与者对其他策略不熟悉.
- 选择的策略被评为适度可用,可行和有效的EBT维持,但整体组合有点充足.
结论:
- 专家对融资策略的有限知识阻碍了EBT的实施和维持.
- 熟悉的策略往往不充分支持EBT,突出了缺乏资源的心理健康系统.
- 需要进行系统性改革和增加投资,因为仅靠融资策略是不够的.
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