Child behavioral health service use and caregiver strain: comparison of managed care and fee-for-service Medicaid systems.
Child behavioral health service use and caregiver strain: comparison of managed care and fee-for-service Medicaid systems.
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儿童行为健康服务的使用和护理人员的压力：管理式护理和按服务收费的医疗补助系统的比较。
DOI：
10.1007/s11020-005-7452-z
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Heflinger,CraigAnne
中科院分区：
文献类型：
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作者：
MaríaBrannan,Ana;Heflinger,CraigAnne
本研究比较了5-17岁（N= 676）接受医疗补助的儿童的行为健康服务利用模式及其决定因素，这些儿童在田纳西州接受管理式医疗服务或在密西西比接受传统的收费服务系统。收费服务计划中的儿童比管理式医疗补助计划中的儿童更有可能接受行为健康服务（即，任何服务、支持服务、传统门诊服务、日间治疗、住院/住宿护理），并获得更多的整体服务。在控制了其他因素的影响后，这一发现仍然成立。虽然儿童，家庭和社区变量与服务使用模式，不同的系统之间的关系。照顾者应变与几个服务使用变量，但其影响在田纳西州更为明显。这些发现支持继续关注影响儿童行为健康服务使用的多层次因素。
This study compares behavioral health service utilization patterns and their determinants among Medicaid-enrolled children, ages 5–17 (N= 676) who were being served under managed care in Tennessee or a traditional fee-for-service system in Mississippi. Children in the fee-for-service program were significantly more likely than their counterparts in the managed care Medicaid program to receive behavioral health services (i.e., any service, support services, traditional outpatient services, day treatment, inpatient/residential care) and to receive more services overall. This finding held after controlling for the influence of other factors. Although child, family, and community variables were related to service use patterns, the relationships differed across systems. Caregiver strain was associated with several service use variables, but its influence was more pronounced in Tennessee. These findings support continued focus on the multi-level factors that shape behavioral health service use among children.