展望:为心理健康服务提供以价值为基础的保险设计的道路
Michael C Freed1, Jennifer L Humensky, Patricia A Arean
1Division of Services and Intervention Research; National Institute of Mental Health; 6001 Executive Boulevard, Bethesda, MD 20892, USA, michael.freed@nih.gov.
基于价值的保险设计 (VBID) 可以改善心理健康护理的获取和质量. 通过使成本与收益保持一致,VBID鼓励有效的治疗,并阻止低价值的护理.
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:
- 将心理健康护理费用与临床效益对齐,对于激励高价值治疗至关重要.
- 当前的系统可能允许以抵消有价值服务的成本提供无效的护理.
研究的目的:
- 对于心理健康的基于价值的保险设计 (VBID) 发表评论.
- 介绍VBID在心理健康护理中实施的关键组件的框架.
主要方法:
- 审查过去和现在的心理健康护理成本控制和质量改善工作.
- 检查各种福利设计,成本共享模式和政策影响.
主要成果:
- 用PTSD作为一个例子来确定心理健康服务的关键VBID成分.
- 基本组成部分包括人口层面的监测工具,基于证据的治疗方法和提供服务的文档.
结论:
- 负担能力和不受监管的护理质量是心理健康治疗的重大障碍.
- VBID提供了一种有前途的方法,以提高获得和利用高价值心理健康护理的机会.
- 研究,实践和政策伙伴关系对于成功实施VBID至关重要.
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