Participation in Accountable Care Organizations Among Hospitals Offering Substance Use Disorder and Mental Health Services
Participation in Accountable Care Organizations Among Hospitals Offering Substance Use Disorder and Mental Health Services
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DOI：
10.1176/appi.ps.201800248
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发表时间：
2018-11-01
影响因子：
3.8
通讯作者：
Huskamp, Haiden A.
中科院分区：
文献类型：
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作者：
McDowell, Michal J.;Busch, Alisa B.;Huskamp, Haiden A.
负责任的护理组织（ACO）可以潜在地提高行为医疗保健的价值。然而，很少有人知道ACO参与医院行为健康服务的可能性。作者探讨了医院中ACO参与的统计预测因素，特别是提供行为健康服务的医院。在调整其他医院特征后，分析发现，与没有行为健康服务的普通内科-外科医院相比，行为健康专科医院参与ACO的可能性较小，而提供行为健康服务的普通内科-外科医院更有可能参与ACO。需要更好地了解行为健康专科医院内ACO参与的障碍以及ACO参与如何影响行为健康护理的质量。
Accountable care organizations (ACOs) can potentially improve value in behavioral health care. However, little is known about the likelihood of ACO participation among hospitals with behavioral health services. The authors explore statistical predictors of ACO participation among hospitals, particularly among those offering behavioral health services. After adjusting for other hospital characteristics, the analysis found that behavioral health specialty hospitals were less likely to participate in an ACO and general medical-surgical hospitals with behavioral health services were more likely to participate, compared with general medical-surgical hospitals without behavioral health services. A better understanding is needed of barriers to ACO participation within behavioral health specialty hospitals and how ACO participation may affect quality of behavioral health care.