在商业保险分娩个体中,自费保险费用与心理治疗利用之间的关联
Stephanie V Hall1, Andrea Pangori2, Anca Tilea2
1Department of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan.
概括
围产期情绪和焦虑障碍 (PMADs) 的高自费成本减少了心理治疗的使用,特别是在收入较高的人群中. 收入较低的人不管成本如何,使用心理治疗的次数较少,突出了进入障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 卫生经济学 卫生经济学
背景情况:
- 围产期情绪和焦虑障碍 (PMADs) 是普遍存在,具有影响力和昂贵的妊娠并发症.
- 对PMADs的有限治疗利用表明存在重大障碍.
- 高昂的自费费用 (OOPC) 是PMAD治疗的潜在障碍.
研究的目的:
- 调查商业保险计划OOPC与心理治疗和利用率和金额之间的关联.
- 根据OOPC水平,检查PMAD的心理治疗利用是否因入学者的收入或心理健康状况而有所不同.
主要方法:
- 一个连续的,横截面的研究利用了从2016年到2020年的非识别索赔数据.
- 后勤回归分析了在38,512个保险计划中的219,043次分娩中使用心理治疗的情况.
- 注册者根据OOPC水平,收入 (低于/高于400%的联邦贫困水平) 和PMAD诊断进行分类.
主要成果:
- 在OOPCs较低的计划中,心理治疗的利用率更高 (OR 1.12; 95% CI [1.10, 1.15]).
- 有PMAD的低收入入学者在低收入和高OOPC计划中使用一致 (5次访问).
- 低OOPC计划的高收入入学者参加的访问次数 (7) 比高OOPC计划的入学者多 (6).
结论:
- 心理治疗的高OOPC与使用率的降低有关,特别是在高收入人群中.
- 不管OOPC如何,低收入人群获得心理治疗的次数也更少,这表明更广泛的访问问题.
- 减少PMADs的成本共享可以改善获取并促进健康公平.
更多相关视频
相关概念视频
Psychotherapy
79
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
79
Psychodynamic Therapy
56
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
56
Interpersonal Psychotherapy
23
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
23
Psychosurgery
47
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
47
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
124
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
124
Elements Crucial for Effective Psychotherapy
34
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
34


