Levin B L
Florida Mental Health Institute, University of South Florida, Tampa 33612.
HMO Pract. 1993 Mar;7(1):28-34.
This paper describes the organizational characteristics, benefit coverage, referral pathways, utilization rates, and costs of substance abuse services within 17 HMOs belonging to The HMO Group in 1990. All 17 health plans responded to the questionnaire. Responses to the survey reflected the complexity of HMO substance abuse services. Overall, The HMO Group members provided substance abuse service coverage partly dependent upon state mandates, employer group priorities, and local competitive benefit structures. The HMOs reported that service utilization rates and the productivity of their substance abuse providers were critical information needs currently not fully reported. Overall, the survey responses reflected the need for improvement of clinical information systems and expansion of the aggregate substance abuse database.
本文描述了1990年隶属于HMO集团的17家健康维护组织（HMO）内药物滥用服务的组织特征、福利覆盖范围、转诊途径、利用率和成本。所有17家健康计划机构都对问卷做出了回应。调查结果反映了HMO药物滥用服务的复杂性。总体而言，HMO集团成员提供的药物滥用服务覆盖范围部分取决于州政府的规定、雇主团体的优先事项以及当地的竞争性福利结构。HMO报告称，服务利用率及其药物滥用服务提供者的工作效率是目前尚未充分报告的关键信息需求。总体而言，调查结果反映出需要改进临床信息系统并扩大药物滥用综合数据库。
