随着时间的推移,精神疾病机构 (IMD) 的所有权地位和保险接受情况的变化
Mara A G Hollander1, Alexandra Patton1, Morgan C Shields2
1Department of Public Health Sciences, University of North Carolina at Charlotte,Charlotte, NC 28223, United States.
Health affairs scholar
|January 18, 2024
概括
财政激励正在推动更多的营利性所有权在精神病医院 (IMDs). 营利性IMD在医疗补助接受率上有最大的增长,这引发了患者安全问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 心理健康政策 心理健康政策
背景情况:
- 国家医疗补助计划面临着对精神疾病机构 (IMD) 资助的限制.
- 最近的监管变化提高了医疗补助公司为IMD治疗支付医疗补助的可行性.
- 这项研究调查了金融激励对IMD营利部门的影响.
研究的目的:
- 评估是否改变金融激励与与非IMD相比,IMD的营利性所有权增加有关.
- 为了确定营利性IMD是否比非营利性IMD在医疗补助接受率上有更大的增长.
- 根据不断变化的支付结构,为有关患者安全的政策考虑提供信息.
主要方法:
- 2014-2020年国家心理健康服务调查数据的分析.
- 对11945个设施年进行了检查,以比较IMD和非IMD.
- 对营利性所有权和医疗补助接受率的变化进行统计评估.
主要成果:
- 营利性所有权在IMD中比非IMD中增加了6.6个百分点.
- 营利性IMD显示了医疗补助接受率的最大比例增长 (18.5个百分点) 与营利性非IMD相比.
- 调查结果表明,IMD领域正在转向营利性实体.
结论:
- 财政激励与营利性所有权的增加和精神疾病机构内医疗补助的利用有关.
- 营利性机构在精神病治疗中的作用越来越大,因此需要仔细考虑患者安全问题.
- 需要进一步的研究来协调不同类型的设施中关于护理质量的混合发现.
相关概念视频
Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
Diagnostic and Statistical Manual of Mental Disorders (DSM)
56
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
56
Classification of Illness
7.5K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.5K
Standards of Care II
656
Nurses bear specific legal responsibilities under several federal statutes, including:
656
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K


