Druss Benjamin G, Miller Carolyn L, Rosenheck Robert A, Shih Sarah C, Bost James E
Department of Psychiatry, Yale University, New Haven, CT, USA.
Am J Psychiatry. 2002 May;159(5):860-2. doi: 10.1176/appi.ajp.159.5.860.
This study examined the rates and correlates of mental health care performance measures in the Health Employer Data and Information Set (HEDIS).
For all 384 health maintenance organizations (HMOs) participating in the HEDIS program of the National Committee for Quality Assurance during 1999, analyses examined the rates of compliance with five mental health care performance measures and their association with general medical care quality, public reporting, and HMO finances.
The mean rate of mental health care performance was 48.0%, compared with 69.2% for non-mental-health care domains. In multivariate models adjusted for plan characteristics, scores for worse quality of non-mental-health domains, failure to report data publicly, and low medical-loss ratio (proportion of revenues spent on clinical care) all predicted poor mental health care performance.
Better general medical care, transparency of reporting, and commitment of fiscal resources to clinical care predicted better mental health care performance for U.S. HMOs.
本研究调查了健康雇主数据与信息集（HEDIS）中心理健康护理绩效指标的比率及其相关因素。
针对1999年参与美国国家质量保证委员会HEDIS项目的所有384家健康维护组织（HMO），分析检查了五项心理健康护理绩效指标的合规率及其与普通医疗护理质量、公开报告和HMO财务状况的关联。
心理健康护理绩效的平均比率为48.0%，而非心理健康护理领域为69.2%。在针对计划特征进行调整的多变量模型中，非心理健康领域质量较差、未公开报告数据以及低医疗损失率（用于临床护理的收入比例）的得分均预示着心理健康护理绩效不佳。
更好的普通医疗护理、报告透明度以及对临床护理的财政资源投入预示着美国HMO的心理健康护理绩效更佳。
