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在科罗拉多州的合作护理成本共享和推率
Betsy Q Cliff1, Tiffany H Xie2, Neda Laiteerapong3
1Department of Public Health Sciences, University of Chicago, S. Maryland Ave Chicago, IL.
在初级保健中,协作护理的整合未得到充分利用,患者接受率很低. 这种心理健康治疗的自付费用通常很低,但可能导致利用率低.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理是指初级护理.
- 心理健康整合精神健康整合
背景情况:
- 协作护理模式有效地将心理健康服务纳入初级保健机构.
- 尽管证明有效,但协作护理的采用仍然很低,可能是由于经济障碍.
研究的目的:
- 检查与协作护理相关的患者自付费用.
- 分析科罗拉多州合作护理推和利用模式的变化.
主要方法:
- 一项回顾性观察性研究利用了科罗拉多州 (2018-2019) 的行政医疗索赔数据.
- 分析包括接受合作护理的医疗保险,医疗保险优势或商业保险的患者.
- 关键指标包括每月的患者支出,医疗保健总支出,以及使用协作护理的合格患者的百分比.
主要成果:
- 每月的平均总支出为48.32美元,平均自费费用为每次访问8.35美元.
- 有商业保险的患者面临的每月自付费用最高 (中位数为15美元),而Medicare Advantage患者的最低 (中位数为0美元).
- 只有12%的符合条件的患者利用临床医生之间的协作护理为服务收费.
结论:
- 协作护理的利用不足,只有不到16%的潜在符合条件的患者接受服务.
- 虽然自付费用通常很低,但成本的变化和不确定性可能会阻碍患者接受治疗.
- 对成本感知和财政援助的进一步研究可以改善协作护理的获取.
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