融资的政策复杂性 第一个情节 精神病服务:从一个自治国家的实施现实
Kyle J Moon1,2, Sandra Stephenson3, Kathryn A Hasenstab1
1Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA.
The journal of behavioral health services & research
|November 28, 2023
概括
首发精神病 (FEP) 的协调专科护理 (CSC) 面临融资障碍,尽管其增长. 俄俄州的政策和实施挑战凸显了需要改进的策略,以确保FEP患者的护理质量和获得.
科学领域:
- 精神病学和行为健康
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 协调专科护理 (CSC) 模型已经扩展到第一发精神病 (FEP) 支持恢复和预防残疾.
- 尽管有投资,但CSC计划的财务可持续性受到持续挑战的威胁.
- 有效的融资对于FEP服务的持续增长和可访问性至关重要.
研究的目的:
- 审查影响CSC对FEP的政策和融资挑战.
- 分析俄俄州本土治理背景下的实施现实,并注意到县级的差异.
- 提出建议,以提高FEP患者的护理质量和获得护理的机会.
主要方法:
- 对影响CSC融资的根深蒂固和新出现的行为健康问题的政策分析.
- 在俄俄州实施的案例研究,重点关注基于县的服务交付变化.
- 审查现有的文学和政策框架,与FEP护理相关.
主要成果:
- 显著的政策和财务障碍阻碍了CSC对FEP的广泛采用和可持续性.
- 俄俄州各县实施的变化强调了需要量身定制的方法.
- 现有的融资机制可能无法充分支持全面的FEP护理.
结论:
- 弥合科学证据和FEP服务提供之间的差距需要战略性政策干预.
- 应对融资挑战至关重要,以确保所有FEP个人均可获得高质量的CSC.
- 政策改革是必要的,以推进行为健康公平,并支持那些患有精神病第一发作的人的长期康复.
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