美国青少年住院成治疗:不平等的获取,等待名单和高成本
Caroline A King1, Tamara Beetham2, Natashia Smith3
1Caroline A. King (c.king@yale.edu), Oregon Health & Science University, Portland, Oregon.
Health affairs (Project Hope)
|January 8, 2024
概括
在美国,青少年住院成治疗的机会有限且昂贵. 许多设施都有等待名单或需要大量的预付款,这阻碍了对阿片类药物使用障碍的及时护理.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健的可访问性 医疗保健的可访问性
背景情况:
- 在美国,青少年药物过量死亡人数正在上升.
- 住院治疗是青少年物质使用障碍的一个选择.
- 关于治疗可访问性和成本的数据有限.
研究的目的:
- 评估青少年住院成治疗的可及性和成本.
- 为了确定青少年阿片类药物使用障碍的护理障碍.
主要方法:
- 使用了药物滥用和心理健康服务管理局的治疗定位器.
- 分析搜索引擎广告数据以识别设施.
- 对设施进行了电话调查,扮演家庭成员.
主要成果:
- 160个已确定为青少年阿片类药物使用障碍治疗的设施.
- 54.4%的人立即有床位可用;平均等待时间为28.4天.
- 平均每日费用为878美元;营利性设施的成本是非营利性设施的三倍.
- 一半的设施需要平均前期付款28,731美元.
- 在10个州和华盛顿特区没有找到适合青少年的设施.
结论:
- 在美国,青少年住院成治疗的机会显著受到限制.
- 高昂的成本和漫长的等待时间是护理的主要障碍.
- 报告指出,在设施可用性方面存在地理差异.
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