评估格鲁吉亚医疗补助保险儿童获得心理社会服务的机会
Yujia Xie1, Pravara Harati2, Janani Rajbhandari-Thapa3
1Georgia Institute of Technology, H. Milton Stewart School of Industrial and Systems Engineering, 755 Ferst Dr NW, Atlanta, 30332, Georgia.
BMC public health
|January 20, 2025
概括
由于提供者短缺,格鲁吉亚州有很大一部分医疗补助保险儿童无法获得心理健康服务. 增加提供者的病例数量和医疗补助计划的参与是改善获得基本心理社会护理的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 心理健康护理 获取 获取
背景情况:
- 评估心理社会服务的获取,为心理健康 (MH) 提供者短缺的政策提供了信息.
- 评估 MH 专业化劳动力的能力对于网络的充分性至关重要.
研究的目的:
- 评估格鲁吉亚的卫生保健专业劳动力如何满足医疗补助保险儿童的心理社会服务需求.
- 为儿科精神卫生保健建立量化网络充足性基准.
主要方法:
- 利用了2018年医疗补助申请,提供者清算数据和2019年学校计划数据.
- 采用数学模型来估计社区需求和实践供应.
- 分析了包括满足需求和旅行距离在内的结果,探索干预影响.
主要成果:
- 格鲁吉亚州34%的医疗补助保险儿童的心理社会服务需求未得到满足.
- 乔治亚州25%的人口普查区的服务覆盖率低于50%,农村地区受到了不成比例的影响.
- 增加医疗补助服务提供者的病例负载或参与,显著减少了未满足的需求和服务不足的地区.
结论:
- 网络不足主要源于医疗保健提供者短缺和医疗补助参与率低,而不是旅行限制.
- 越来越多的供应商案件量成为改善满足需求的最有效的干预措施.
- 专注于扩大提供者参与和病例数量的政策干预措施可以增强对儿科精神卫生保健的获取.
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