管理式行为健康组织中治疗可及性与支出之间的关系。
The relationship between treatment access and spending in a managed behavioral health organization.
作者信息
Cuffel B J, Regier D
机构信息
United Behavioral Health, San Francisco, California 94105, USA.
出版信息
Psychiatr Serv. 2001 Jul;52(7):949-52. doi: 10.1176/appi.ps.52.7.949.
OBJECTIVE
This study replicated an earlier study that showed a linear relationship between level of treatment access and behavioral health spending. The study reported here examined whether this relationship varies by important characteristics of behavioral health plans.
METHODS
Access rates and total spending over a five- to seven-year period were computed for 30 behavioral health plans. Regression analysis was used to estimate the relationship between access and spending and to examine whether it varied with the characteristics of benefit plans.
RESULTS
A linear relationship was found between level of treatment access and behavioral health spending. However, the relationship closely paralleled that found in the earlier study only for benefit plans with an employee assistance program linked to the managed behavioral health organization and for plans that do not allow the use of out-of-network providers.
CONCLUSIONS
The results of this study replicate those of the earlier study in showing a linear relationship between access and spending, but they suggest that the magnitude of this relationship may vary according to key plan characteristics.
目的
本研究重复了一项早期研究，该研究表明治疗可及性水平与行为健康支出之间存在线性关系。此处报告的研究考察了这种关系是否因行为健康计划的重要特征而异。
方法
计算了30个行为健康计划在五至七年期间的可及率和总支出。采用回归分析来估计可及性与支出之间的关系，并考察其是否随福利计划的特征而变化。
结果
发现治疗可及性水平与行为健康支出之间存在线性关系。然而，这种关系仅与早期研究中发现的、与管理式行为健康组织相关联的员工援助计划的福利计划以及不允许使用网络外提供者的计划密切平行。
结论
本研究的结果重复了早期研究的结果，表明可及性与支出之间存在线性关系，但结果表明这种关系的程度可能因关键计划特征而异。
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