评估医疗补助患者行为健康整合和与酒精有关的治疗之间的关系
Lina Tieu1,2, Nadereh Pourat1,3, Elizabeth Bromley4
1Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA.
当特定的基础设施和提供者支持元素存在时,行为健康整合 (BHI) 改善了与酒精有关的护理. 这表明,向的BHI组件可以提高酒精使用障碍患者的治疗机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 行为健康整合 (BHI) 对于在初级保健机构解决行为健康状况至关重要.
- 医疗补助患者在获得与酒精有关的护理方面经常面临障碍.
- 公共医院是实施BHI倡议的关键地点.
研究的目的:
- 检查医疗补助患者中BHI和与酒精有关的护理结果之间的关系.
- 确定与改善治疗和急性护理利用相关的特定BHI组件.
- 评估BHI在加利福尼亚州公共医院系统中的影响.
主要方法:
- 利用来自公共医院重新设计和Medi-Cal计划中的激励计划的调查和索赔数据.
- 在复合,基础设施和过程领域评估了医院级BHI.
- 采用多级物流回归来分析BHI与与酒精有关的护理和急性护理结果的关联.
主要成果:
- 总体BHI和与酒精有关的结局之间没有发现显著的关联.
- 加强BHI基础设施与与酒精有关的住院率和所有原因相关的住院率较高.
- 特定的BHI主题,如提供者支持,与增加排毒,初级保健访问和及时开始治疗有关.
结论:
- 实施有针对性的BHI组件,特别是那些支持提供者的组件,可能会提高与酒精有关的治疗.
- 对于改善护理协调和结果,BHI基础设施似乎至关重要.
- 需要进一步的研究,以了解将特定的BHI元素与改善患者护理联系在一起的机制.
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