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社会工作者在负责任的护理组织中提供行为健康治疗
Chris Miller-Rosales1, Ellen Meara2, James Murphey3
1Department of Health Care Policy, Harvard Medical School, Health Care Policy, Boston, Massachusetts, US.
Social work in health care
|November 22, 2024
概括
社会工作者在约一半的负责护理组织 (ACO) 中提供行为健康治疗. 他们的纳入与专业精神卫生设施有关,但在农村环境中治疗物质使用的可能性较低.
科学领域:
- 医疗保健政策 医疗保健政策
- 医疗保健中的社会工作
- 行为健康服务 行为健康服务
背景情况:
- 负责任的护理组织 (ACO) 旨在改善医疗保健质量,并降低特定患者群体的成本.
- 社会工作专业在护理协调方面的技能与ACO的目标保持一致.
- 有限的数据存在于社会工作者作为行为健康提供者在ACO的整合.
研究的目的:
- 估计社会工作者在有医疗保险和医疗补助ACO合同的组织中提供行为健康治疗的流行率.
- 确定与社会工作者纳入ACO行为健康服务相关的预测因素.
主要方法:
- 对227个持有医疗保险和医疗补助ACO合同的组织进行了全国性调查.
- 该调查评估了社会工作者在这些ACO中提供心理健康和物质使用治疗的程度.
主要成果:
- 大约50%的接受调查的ACO报告说,社会工作者提供心理健康治疗.
- 大约33%的ACO报告说,社会工作者提供物质使用治疗.
- 包括专业精神卫生设施预计社会工作者参与度更高;包括农村设施预计社会工作者提供更低的物质使用治疗.
结论:
- 社会工作者参与在相当一部分ACO提供行为健康治疗.
- 专业精神卫生设施的存在和医疗保健设施的乡村性影响了社会工作者在ACO中的作用.
- 这项研究提供了关于社会工作者在ACO的整合的基础数据,为未来的研究和政策提供了信息.
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