Reasons for Not Seeking Substance Use Disorder Treatment: Variations by Health Insurance Coverage
Reasons for Not Seeking Substance Use Disorder Treatment: Variations by Health Insurance Coverage
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DOI：
10.1007/s11414-016-9538-3
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发表时间：
2017-01-01
影响因子：
1.9
通讯作者：
Mutter, Ryan
中科院分区：
文献类型：
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作者：
Ali, Mir M.;Teich, Judith L.;Mutter, Ryan
许多患有药物滥用障碍 (SUD) 的成年人没有接受针对其病情的治疗。本研究利用 2008-2013 年全国药物使用与健康调查 (NSDUH) 的数据，分析了为什么患有 SUD 的人报告说即使他们认为有需要也没有接受治疗。它还根据健康保险状况和类型进一步研究了未接受治疗的报告原因的差异。结果表明，诸如耻辱感、缺乏停止使用药物的准备以及不将治疗作为优先事项等障碍在投保人群中更为常见，尤其是在拥有私人保险的人群中。在未参保人群中，财务障碍更为突出，例如无力承担治疗费用。提高治疗服务利用率的努力需要解决财务以及与耻辱相关的障碍。
A large number of adults with substance use disorder (SUD) do not receive treatment for their condition. Using data from the 2008-2013 National Survey of Drug Use and Health (NSDUH), this study analyzes why individuals with SUD report not receiving treatment even when they perceived a need for it. It further examines the variations in reported reasons for not receiving treatment by health insurance status and type. The results suggest that barriers such as stigma, lack of readiness to stop using substances, and not making treatment a priority are more common among the insured population, especially among those with private insurance. Financial barriers, such as not being able to afford the cost of treatment, are more prominent among the uninsured population. Efforts to improve utilization of treatment services will need to address financial as well as barriers related to stigma.