Trends in behavioral health care service provision by community health centers, 1998-2007.
Trends in behavioral health care service provision by community health centers, 1998-2007.
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1998-2007 年社区卫生中心提供行为卫生保健服务的趋势。
DOI：
10.1176/ps.2010.61.8.759
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Radford,Andrea
中科院分区：
文献类型：
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作者：
Wells,Rebecca;Morrissey,JosephP;Lee,I-Heng;Radford,Andrea
联邦政府在2002-2007年间加大了对医疗服务不足地区社区卫生中心的支持力度。这项调查将全国社区卫生中心在该倡议实施前几年提供的行为卫生服务的趋势与之前的趋势进行了比较。方法数据来自卫生资源和服务管理局1998-2007年关于社区卫生中心的统一数据系统(2007，N=1,067)。回归分析揭示了个别社区卫生中心提供现场专科精神卫生保健、危机服务和药物滥用治疗的可能性的趋势。结果2001-2007年间，联邦政府资助的社区卫生中心的数量增加了43%，从748个增加到1067个，是1998-2001年间年增长率的两倍多。然而，在这两个时期，个别社区卫生中心提供不同类型行为卫生保健的可能性的趋势总体上是一致的。2007年，77%的社区卫生中心提供专门的精神卫生服务，20%提供24小时危机干预服务，51%提供药物滥用治疗。2007年，社区卫生中心平均每位精神卫生患者就诊次数为2.9次。结论近年来，社区卫生中心数量快速增长，提供专科精神卫生服务的比例持续增加，行为卫生服务安全网不断扩大。
ObjectiveThe federal government boosted support for community health centers in medically underserved areas in 2002–2007. This investigation compared trends in behavioral health services provided by community health centers nationwide during the first several years of that initiative with immediately prior trends.MethodsData were extracted from the Health Resources and Services Administration’s Uniform Data System on community health centers for 1998–2007 (2007, N= 1,067). Regression analyses revealed trends in individual community health centers’ likelihood of providing on-site specialty mental health care, crisis services, and substance abuse treatment. Aggregate data were used to show national trends in numbers of behavioral health encounters, patients, and encounters per patient.ResultsThe number of federally funded community health centers increased 43% between 2001 and 2007, from 748 to 1,067, over twice the annual growth rate between 1998 and 2001. However, trends in individual community health centers’ likelihood of providing different types of behavioral health care were generally consistent across the two time periods. In 2007, 77% of community health centers offered specialty mental health services, 20% offered 24-hour crisis intervention services, and 51% offered substance abuse treatment. The mean number of mental health encounters per mental health patient at community health centers in 2007 was 2.9.ConclusionsThe behavioral health care safety net has widened through rapid recent growth in the number of community health centers as well as a continuing increase in the proportion offering specialty mental health services.(Psychiatric Services 61: 759–764, 2010)