在综合初级保健加上获得心理健康和物质使用治疗的机会
Tatiane Santos1,2, Alon Bergman2,3,4, Aaron Smith-McLallen5
1Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana.
JAMA network open
|April 26, 2024
概括
全方位初级保健加 (CPC+) 模式改善了获得心理健康和物质使用治疗的机会,患者填写了更多的布普伦诺芬和抗焦虑药物处方. 这证明了CPC+在提高对这些疾病的护理方面的有效性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 行为健康整合行为健康整合
背景情况:
- 医疗保险和医疗补助服务中心启动了综合初级保健加 (CPC +) 演示,以应对对心理健康和物质使用服务需求的不断增长.
- CPC+要求在初级保健实践中整合行为健康服务.
研究的目的:
- 评估CPC+模型与获得心理健康和物质使用治疗之间的关联.
- 评估在COVID-19大流行之前和期间获得治疗的机会.
主要方法:
- 一个回顾性队列研究使用差异分析.
- 宾夕法尼亚州19-64岁的成年人与抑郁症,焦虑症或阿片类药物使用障碍 (OUD) 相比,归因于CPC+与非CPC+实践.
- 数据涵盖2018年1月1日至2022年6月30日,分析时间为2023年1月至6月.
主要成果:
- 与非CPC+实践中的人相比,OUD与CPC+实践中的个人填充了更多的布普伦诺芬 (0.117处方/患者/季度) 和抗焦虑药 (0.162处方/患者/季度).
- 被归因于CPC+实践的抑郁或焦虑患者也显示布普伦诺芬处方增加 (0.024处方/患者/季度).
结论:
- 研究结果表明,CPC+实践与改善OUD和心理健康状况的药物获取相关.
- 了解CPC+等先进的初级保健模式的影响对于质量改进举措至关重要.
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