在管理护理下,无限制的心理健康护理覆盖有多昂贵?
1RAND, Santa Monica, CA 90401, USA. Roland_Sturm@rand.org
JAMA
|November 18, 1997
概括
带有慷慨精神健康覆盖的管理护理计划具有成本效益. 取消心理健康护理的覆盖范围限制会导致成本增加,使儿童受益最多.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康政策 心理健康政策
- 管理护理管理护理
背景情况:
- 在管理护理下,人们对心理健康护理成本的担忧影响了卫生系统改革.
- 之前的政策辩论依赖于可能不反映实际成本的假设.
研究的目的:
- 分析心理健康护理的成本,获取和强度,在管理护理中制定具有广泛覆盖的计划.
- 将这些发现与政策辩论中使用的假设进行比较.
- 模拟消除心理健康护理覆盖范围限制的财务影响.
主要方法:
- 来自24个管理护理分拆计划 (1995-1996) 的索赔数据的分析.
- 所有研究的计划都提供了无限的心理健康保险,最低限度的付费.
- 根据服务类型和入学者的护理概率,强度和总成本的评估.
主要成果:
- 心理健康的管理护理费用比政策辩论中假设的低4至8倍.
- 与收费服务相比,获得专业心理健康护理的机会增加 (入学者的7.0%).
- 取消每年25000美元的年限将使每年每名入学者只增加1美元的支付,儿童是主要受益者.
结论:
- 基于过时数据的过度估计成本问题阻碍了卫生系统改革.
- 在管理护理下增强心理健康覆盖的实际成本影响很小.
- 现在在私人保险中普遍存在的管理护理,证明了具有成本效益的心理健康护理扩展的可行性.
相关概念视频
Introduction To Health Care Delivery System
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Managed Care System:
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Managed Care System:
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Specialized Care Centers and Settings-I
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
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Integrated Healthcare System
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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