医疗补助管理护理网络充足性标准和心理健康护理准入
Ju-Chen Hu1, Janet R Cummings, Xu Ji
1Department of Population Health Sciences, Weill Cornell Medicine, 575 Lexington Ave, 6th Floor, New York, NY 10022.
The American journal of managed care
|January 23, 2025
概括
定量网络充足性标准 (NAS) 对改善医疗补助管理护理入学者的心理健康 (MH) 护理获取的影响很小. 除了NAS,还需要进行额外的干预,以提高MH服务的利用率.
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:
- 医疗补助计划是美国精神卫生服务的主要支付人.
- 医疗补助管理护理 (MMC) 覆盖了超过80%的入学者.
- 各国要求对MMC计划制定定量网络充足性标准 (NAS),以确保获得心理健康护理.
研究的目的:
- 调查定量NAS与获得心理健康护理之间的关联.
- 分析所有医疗补助计划的入学者,特别是那些有心理健康状况的人.
主要方法:
- 使用差异设计的横截面研究.
- 来自2016-2019年国家药物使用和健康调查的数据.
- 包括15个州的医疗补助计划入学者 (18-64岁),对那些有严重心理困扰,严重抑郁或自杀念头的人进行小组分析.
主要成果:
- 在9300名成年人中,27.2%的人患有心理健康状况.
- 纳斯显示与任何心理健康服务的使用增加的边际关联 (aOR=1.4,P=0.055).
- 没有发现NAS与其他心理健康护理获取结果之间有显著的关联,包括那些有心理健康状况的人.
结论:
- 目前的定量NAS可能在改善心理健康护理准入方面具有有限的有效性.
- 需要额外的干预措施来补充NAS.
- 各国应重新评估执法策略,并考虑采取补充干预措施,以便更好地获得心理健康护理.
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