Medicaid, health care financing trends, and the future of state-based public mental health services
Medicaid, health care financing trends, and the future of state-based public mental health services
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DOI：
10.1176/appi.ps.54.7.969
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发表时间：
2003-07-01
影响因子：
3.8
通讯作者：
Buck, JA
中科院分区：
文献类型：
--
作者：
Buck, JA
医疗补助计划现在资助了各州管理的一半以上的公共心理健康服务，到2017年可能占到此类支出的三分之二。这一趋势和其他趋势代表了资助、组织和提供公共精神卫生服务的主导模式的重大转变。一种模式与州精神卫生当局管理的方案有关，其特点是直接资助指定的社区提供者。这种模式正在被一种与州医疗补助计划相关的模式所取代，这种模式是基于健康保险计划的组织和融资方法。这种模式的转变包括行政权力、资金来源、数据收集、服务人口、提供的服务以及对提供者和消费者的态度等问题。不了解这些变化及其影响可能会产生负面后果。
Medicaid now funds more than half of public mental health services administered by states and could account for two-thirds of such spending by 2017. This trend and others represent a major shift in the predominant model by which public mental health services are funded, organized, and delivered. One model is associated with programs administered by state mental health authorities and is characterized by direct funding of designated community providers. This model is being displaced by one associated with state Medicaid programs, which are based on organization and financing methods characteristic of health insurance plans. This shift in models encompasses issues such as administrative authority, funding source, data collection, population served, services provided, and attitudes toward providers and consumers. Failure to understand these changes and their implications will probably have negative consequences.