Integrating physical health: What were the costs to behavioral health care clinics?
Integrating physical health: What were the costs to behavioral health care clinics?
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DOI：
10.1016/j.genhosppsych.2017.12.006
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发表时间：
2018-03-01
影响因子：
7
通讯作者：
Yu, Hao
中科院分区：
文献类型：
--
作者：
Connor, Kathryn L.;Breslau, Joshua;Yu, Hao
目的：让提供者和决策者了解在心理健康诊所提供身体保健的潜在成本。方法：通过对22家参与纽约州心理健康办公室健康监测和健康体检项目的行为健康诊所的访谈，收集成本数据。访谈数据与提供给州政府的财务报告数据相结合，确定了健康监测和健康监测+健康体检两个层面的身体健康服务的每次互动成本。结果：本研究提供了诊所健康整合计划成本的详细信息，包括与直接服务、图表和管理以及总体护理协调相关的每次互动成本。健康体检的每次客户互动的平均直接成本是健康监测的3倍。结论：整合物理护理服务的成本对精神卫生诊所来说并不是微不足道的，可能会构成广泛采用的障碍。提供有限的健康监测服务对诊所来说不那么昂贵，但产生的非临床成本比健康体检要高得多。这种更有限的方法对健康的相对影响是未来研究的一个重要领域。此外，改变报销方式以包括医疗保健协调时间可能会提高计划的可持续性。
Objective: To inform providers and policy-makers about the potential costs of providing physical health care in mental health clinics.Methods: Cost data were collected through interviews with 22 behavioral health clinics participating in New York State Office of Mental Health's health monitoring and health physicals programs. The interview data was combined with financial reporting data provided to the state to identify per interaction costs for two levels of physical health services: health monitoring and health monitoring plus health physicals.Results: This study gives detailed information on the costs of clinics' health integration programs, including per interaction costs related to direct service, charting and administration, and total care coordination. Average direct costs per client interaction were 3 times higher for health physicals than for health monitoring.Conclusions: Costs of integrating physical care services are not trivial to mental health clinics, and may pose a barrier to widespread adoption. Provision of limited health monitoring services is less expensive for clinics, but generates proportionally large non-clinical costs than health physicals. The relative health impact of this more limited approach is an important area for future study. Also, shifting reimbursement to include health care coordination time may improve program sustainability.