Care Integration in the Patient Protection and Affordable Care Act: Implications for Behavioral Health
Care Integration in the Patient Protection and Affordable Care Act: Implications for Behavioral Health
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DOI：
10.1007/s10488-012-0405-0
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发表时间：
2013-07-01
影响因子：
2.6
通讯作者：
Parish, Susan L.
中科院分区：
文献类型：
--
作者：
Croft, Bevin;Parish, Susan L.
同时患有严重精神疾病和药物使用障碍的个人经历了高度分散的护理系统，导致健康状况不佳和未满足的治疗需求水平升高。医疗保健改革法中的几个要素可以通过加强身体和行为医疗保健系统的整合来解决这些问题。本文的目的是分析这些因素，这些因素分为三个领域：增加获得，重组融资和偿还机制，以及加强基础设施。最后，我们审议了今后在执行方面的挑战。
Individuals with co-occurring serious mental illness and substance use disorders experience a highly fragmented system of care, contributing to poor health outcomes and elevated levels of unmet treatment needs. Several elements in the health care reform law may address these issues by enhancing the integration of physical and behavioral health care systems. The purpose of this paper is to analyze these elements, which fall into three domains: increasing access, restructuring financing and reimbursement mechanisms, and enhancing infrastructure. We conclude with a consideration of the implementation challenges that lie ahead.