临床和行政角度对先前授权的住宅物质使用障碍治疗:一个定性分析
Rebecca Wallis1, Lindsay Allen2, Stephen M Davis3
1West Virginia University Health Affairs Institute, 64 Medical Center Drive, Morgantown, WV, 26506, USA. rebecca.wallis@hsc.wvu.edu.
The journal of behavioral health services & research
|August 14, 2025
概括
在医疗补助管理护理组织 (MCOs) 下,对物质使用障碍 (SUD) 住宅护理的预先授权将重点从临床护理转移到行政任务. 这种行政负担和较短的住宿可能会降低护理质量并增加复发风险.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
- 医疗保健管理局的管理.
背景情况:
- 医疗补助管理护理组织 (MCOs) 越来越多地使用事先授权 (PA) 进行物质使用障碍 (SUD) 住宅服务.
- 这种支付结构可能会影响临床实践和患者的治疗结果.
研究的目的:
- 探索住院成人服务 (RAS) 工作人员在PA要求下向MCO收费SUD治疗的临床经验.
- 了解PA对护理提供和患者风险的影响.
主要方法:
- 17个半结构焦点小组的定性分析与西弗吉尼亚州的RAS工作人员 (2020-2022).
- 参与者包括管理人员,临床医生和同行恢复支持专家.
- 对转录的数据进行现象学主题分析.
主要成果:
- 提供者报告说,由于PA的行政负担,他们感到无能为力,将重点从临床任务转移到行政任务.
- 被认为,由PA授权的较短逗留时间会降低护理质量并增加患者复发风险.
结论:
- 对于SUD提供者来说,MCO的PA要求可能会造成障碍,阻碍他们提供高质量的护理的能力.
- 需要进一步研究MCO的观点以及PA对患者结果的定量影响.
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