Insurance Financing Increased For Mental Health Conditions But Not For Substance Use Disorders, 1986-2014
Insurance Financing Increased For Mental Health Conditions But Not For Substance Use Disorders, 1986-2014
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DOI：
10.1377/hlthaff.2016.0002
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发表时间：
2016-06-01
期刊：
影响因子：
9.7
通讯作者：
Carroll, Christopher D.
中科院分区：
文献类型：
--
作者：
Mark, Tami L.;Yee, Tracy;Carroll, Christopher D.
这项研究更新了之前对美国到2014年在精神健康和物质使用障碍方面的支出的估计。结果表明，近年来，心理卫生保健保险融资增加的长期趋势仍在继续。由私人保险、医疗保险和医疗补助资助的精神健康治疗总支出的份额从1986年的44%增加到2014年的68%。相比之下，由私人保险、医疗保险和医疗补助资助的药物使用障碍治疗支出份额在1986年为45%，2014年为46%。从2004年到2013年，越来越多的成年人接受了心理健康治疗（分别为12.6%和14.6%），尽管这只是因为精神病药物的使用增加了。在同一时期，只有1.2- 1.3%的成年人在住院、门诊或居住环境中接受了物质使用障碍治疗，尽管使用药物治疗物质使用障碍的情况迅速增加。
This study updates previous estimates of US spending on mental health and substance use disorders through 2014. The results reveal that the long-term trend of greater insurance financing of mental health care continued in recent years. The share of total mental health treatment expenditures financed by private insurance, Medicare, and Medicaid increased from 44 percent in 1986 to 68 percent in 2014. In contrast, the share of spending for substance use disorder treatment financed by private insurance, Medicare, and Medicaid was 45 percent in 1986 and 46 percent in 2014. From 2004 to 2013, a growing percentage of adults received mental health treatment (12.6 percent and 14.6 percent, respectively), albeit only because of the increased use of psychiatric medications. In the same period, only 1.2-1.3 percent of adults received substance use disorder treatment in inpatient, outpatient, or residential settings, although the use of medications to treat substance use disorders increased rapidly.