在一个大型的医疗补助资助儿童服务过渡的第一年关键问题
Shari L Hutchison1, RaeAnn Taylor2, Amy D Herschell2
1Community Care Behavioral Health Organization, UPMC Insurance Services Division, 339 Sixth Ave, Suite 1300, Pittsburgh, PA, USA. hutchisons@ccbh.com.
Community mental health journal
|October 25, 2023
概括
宾夕法尼亚州 宾夕法尼亚州
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿童和青少年行为健康
- 医疗保健政策和管理
背景情况:
- 行为健康康复服务 (BHRS) 是宾夕法尼亚州医疗补助入学青年的关键服务.
- 在2021年,全州的政策变化将BHRS转变为强化行为健康服务 (IBHS).
- 这次过渡的目的是重新评估和潜在地改善对年轻人的行为健康服务提供.
研究的目的:
- 为了比较BHRS (2019) 和新实施的IBHS (2021) 之间的服务利用模式.
- 评估政策变化对青少年行为健康服务的获取和质量的影响.
- 分析服务类型的差异,特别是应用行为分析 (ABA) 和放电率.
主要方法:
- 来自宾夕法尼亚州一家大型行为健康管理护理组织的服务利用数据的比较分析.
- 2019年的数据 (BHRS) 与2021年的数据 (IBHS) 进行了比较.
- 关键指标包括接受特定服务 (ABA和非ABA) 的年轻人数和退学率.
主要成果:
- 与BHRS (13,795) 相比,在IBHS (10,083) 中获得非ABA服务的年轻人较少.
- 与BHRS (2690人) 相比,更多的年轻人在IBHS (4,385) 下获得了ABA服务.
- 出院率相似 (44%的IBHS对比BHRS的47%),最初的IBHS访问没有改善,但基于证据的治疗增加了.
结论:
- 过渡到IBHS导致了更多的ABA服务的转变,这表明一些年轻人可能会增加基于证据的治疗.
- 虽然对非ABA服务的整体访问量下降,排放率保持相似,但ABA的增加提供表明,针对特定需求的更高质量的护理正在转变.
- 需要进一步评估,以充分了解IBHS过渡对宾夕法尼亚州青年全面行为健康服务获取和结果的长期影响.
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