Beyond Parity: Primary Care Physicians' Perspectives On Access To Mental Health Care
Beyond Parity: Primary Care Physicians' Perspectives On Access To Mental Health Care
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DOI：
10.1377/hlthaff.28.3.w490
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发表时间：
2009-05-01
期刊：
影响因子：
9.7
通讯作者：
Cunningham, Peter J.
中科院分区：
文献类型：
--
作者：
Cunningham, Peter J.
2004-05年，大约三分之二的初级保健医生（PCP）报告说，他们无法为病人提供门诊心理健康服务，这一比例至少是其他服务的两倍。精神卫生保健提供者的短缺，健康计划的障碍，以及缺乏覆盖面或覆盖面不足，都被PCP引用为获得精神卫生保健的重要障碍。患者出现精神健康问题的可能性因医生执业、卫生系统和政策因素而异。结果表明，在全国范围内实施精神卫生均等将减少部分但不是全部精神卫生保健障碍。[Health Affairs 28，no. 3（2009）：w 490-w501（2009年4月14日在线发布; 10.1377/hlthaff.28.3.w490）]
About two-thirds of primary care physicians (PCPs) reported in 2004-05 that they could not get outpatient mental health services for patients-a rate that was at least twice as high as that for other services. Shortages of mental health care providers, health plan barriers, and lack of coverage or inadequate coverage were all cited by PCPs as important barriers to mental health care access. The probability of having mental health access problems for patients varied by physician practice, health system, and policy factors. The results suggest that implementing mental health parity nationally will reduce some but not all of the barriers to mental health care. [Health Affairs 28, no. 3 (2009): w490-w501 (published online 14 April 2009; 10.1377/hlthaff.28.3.w490)]