Laws Katherine E, Gabriel Roy M, McFarland Bentson H
RMC Research Corporation, Portland, Oregon, USA.
Health Aff (Millwood). 2002 Jul-Aug;21(4):284-9. doi: 10.1377/hlthaff.21.4.284.
With the creation of the Oregon Health Plan (OHP) in 1994, Oregon placed its Medicaid program under a managed care system. This paper examines the managed care practices of seven health plans serving OHP enrollees between 1996 and 1998. Results indicated that the original vision of integrating substance abuse treatment services with physical care for OHP enrollees evolved into a multilayered, carved-out approach. Factors working against integration included changes in the administration and management of the chemical dependency benefit, financial losses by health plans, and lack of training and incentives for physicians to refer clients to substance abuse treatment.
随着1994年俄勒冈健康计划（OHP）的创立，俄勒冈州将其医疗补助计划置于管理式医疗体系之下。本文考察了1996年至1998年间为OHP参保人服务的七家健康计划的管理式医疗实践。结果表明，将药物滥用治疗服务与OHP参保人的身体护理相结合的最初设想演变成了一种多层次的、独立的方法。阻碍整合的因素包括化学依赖福利的行政管理变化、健康计划的财务损失，以及医生将患者转介到药物滥用治疗机构方面缺乏培训和激励措施。
