Health Care Reform and Care at the Behavioral Health-Primary Care Interface
Health Care Reform and Care at the Behavioral Health-Primary Care Interface
复制标题
DOI：
10.1176/ps.2010.61.11.1087
复制
发表时间：
2010-11-01
影响因子：
3.8
通讯作者：
Mauer, Barbara J.
中科院分区：
文献类型：
--
作者：
Druss, Benjamin G.;Mauer, Barbara J.
2010年3月历史性地通过了《患者保护和平价医疗法案》，这为解决长期以来在行为健康和初级保健之间的服务质量和整合方面的不足提供了可能。改革保健提供系统的许多努力将以示范项目的形式进行，如果成功，这些项目将成为更广泛的卫生系统的典范。本文回顾了两个可能对这一界面两侧的护理产生特殊影响的项目：医疗补助和医疗保险以患者为中心的医疗之家示范项目，以及将初级保健服务并存于社区精神卫生环境中的物质滥用和精神卫生服务管理局计划的扩展。作者概述了关键的支持因素，包括新的融资机制、质量评估指标、信息技术基础设施和技术支持，这些因素对于确保倡议发挥其改善护理的潜力将是重要的。(精神科服务61：1087-1092,2010)
The historic passage of the Patient Protection and Affordable Care Act in March 2010 offers the potential to address long-standing deficits in quality and integration of services at the interface between behavioral health and primary care. Many of the efforts to reform the care delivery system will come in the form of demonstration projects, which, if successful, will become models for the broader health system. This article reviews two of the programs that might have a particular impact on care on the two sides of that interface: Medicaid and Medicare patient-centered medical home demonstration projects and expansion of a Substance Abuse and Mental Health Services Administration program that colocates primary care services in community mental health settings. The authors provide an overview of key supporting factors, including new financing mechanisms, quality assessment metrics, information technology infrastructure, and technical support, that will be important for ensuring that initiatives achieve their potential for improving care. (Psychiatric Services 61: 1087-1092, 2010)