对经历行为健康状况的成年人进行金融干预的系统审查
Jack Tsai1, Rebecca L Kinney1, Eric B Elbogen1
1National Center on Homelessness Among Veterans, Homeless Programs Office, U.S. Department of Veterans Affairs (VA), Washington, D.C. (Tsai, Kinney, Gluff); School of Public Health, University of Texas Health Science Center at Houston, Houston (Tsai); National Veterans Financial Resource Center, Rocky Mountain Mental Illness Research, Education, and Clinical Center for Suicide Prevention, VA, Denver (Elbogen); Department of Psychiatry, Duke University School of Medicine, Durham, North Carolina (Elbogen).
基于财政的干预措施有望改善精神或物质使用障碍的成年人的临床和心理社会结果. 代表性受益者计划提供了对行为健康产生积极影响的最有力的证据.
科学领域:
- 行为健康 行为健康
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 精神和物质使用障碍对个人和医疗保健系统产生重大影响.
- 越来越多地探索基于财务的干预措施,以改善这些人群的结果.
- 现有的文献评论缺乏对基于金融的干预措施有效性的全面综合.
研究的目的:
- 系统地审查和综合有关精神障碍,物质使用障碍或两者的金融干预措施的证据.
- 评估这些干预措施对临床和心理社会结果的影响.
- 确定最有效的干预措施和未来研究领域.
主要方法:
- 从1900年到2022年对同行评审的文献进行系统审查.
- 纳入标准:患有精神/物质使用障碍的参与者,基于结构化的金融干预,定量行为健康结果,定义的研究设计.
- 质量评估和证据评级 (I-VII级).
主要成果:
- 从最初识别的544件中,包括了18件物品.
- 代表性受益者计划展示了减少物质使用和改善资金管理的最强有力的证据.
- 金融教育和援助对改善医疗保健利用率和心理社会结果的证据较弱.
结论:
- 基于财政的干预措施,特别是代表性受益者计划,可以改善行为健康状况 (II-V级证据) 的成年人的结果.
- 需要进一步的研究来评估在客观测量的结果上超越代表性受益者计划的干预措施.
- 证据综合支持将金融策略整合到行为健康治疗中.
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