Challenges and Opportunities for Integrating Preventive Substance-Use-Care Services in Primary Care through the Affordable Care Act
Challenges and Opportunities for Integrating Preventive Substance-Use-Care Services in Primary Care through the Affordable Care Act
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DOI：
10.1353/hpu.2014.0067
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发表时间：
2014-02-01
影响因子：
1.4
通讯作者：
Tai, Betty
中科院分区：
文献类型：
--
作者：
Ghitza, Udi E.;Tai, Betty
在美国，治疗不足或未经治疗的物质使用障碍 (SUD) 仍然是一个普遍存在的、对医学有害的公共卫生问题，特别是在医疗服务不足和缺乏适当治疗的低收入人群中。与基本健康福利相关的标准最终规则中的政策表明了需要更多地获得 SUD 治疗，并要求通过 2010 年《平价医疗法案》(ACA) 健康保险交易所涵盖这些标准。 SUD 治疗服务已被列为一项基本健康福利，其方式符合 2008 年《精神健康平等和成瘾公平法案》(MHPAEA)。因此，随着 ACA 的出台，SUD 护理服务在初级保健领域的大规模扩展即将到来。本评论讨论了 ACA 下的挑战和机遇，为医疗保健专业人员提供适当的劳动力培训、基础设施和资源，以支持和指导初级保健中 SUD 的基于科学的筛查、简短干预和转诊治疗 (SBIRT)。
Undertreated or untreated substance use disorders (SUD) remain a pervasive, medically-harmful public health problem in the United States, particularly in medically underserved and low-income populations lacking access to appropriate treatment. The need for greater access to SUD treatment was expressed as policy in the Final Rule on standards related to essential health benefits, required to be covered through the 2010 Affordable Care Act (ACA) health insurance exchanges. SUD treatment services have been included as an essential health benefit, in a manner that complies with the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008. Consequently, with the ACA, a vast expansion of SUD-care services in primary care is looming. This commentary discusses challenges and opportunities under the ACA for equipping health care professionals with appropriate workforce training, infrastructure, and resources to support and guide science-based Screening, Brief Intervention, and Referral to Treatment (SBIRT) for SUD in primary care.