精神分裂症、共病物质使用障碍与护理质量：行为健康管理式医疗分离的差异效应
Schizophrenia, co-occurring substance use disorders and quality of care: the differential effect of a managed behavioral health care carve-out.
作者信息
Busch Alisa B, Frank Richard G, Lehman Anthony F, Greenfield Shelly F
机构信息
Alcohol and Drug Abuse Treatment Program and the Department of Health Care Policy, McLean Hospital and Harvard Medical School, Proctor Building, 115 Mill St, Belmont, MA 02446, USA.
出版信息
Adm Policy Ment Health. 2006 May;33(3):388-97. doi: 10.1007/s10488-006-0045-3.
Abstract
This study explores the differential effect of a managed behavioral health Carve-Out (CO) on outpatient treatment quality for persons with schizophrenia (SCHZ) alone and co-occurring substance use disorders (SUD) (SCHZ+SUD). We used claims data from a state Medicaid program and employed a retrospective, quasi-experimental design with logit and difference in difference formula regression models. The results show the CO was associated with greater changes in treatment quality for the SCHZ population, compared to the SCHZ+SUD population. Most pronounced across both populations were decrements in receiving the psychosocial treatments for enrollees in the CO arrangement.
摘要
本研究探讨了管理式行为健康专项分离（CO）对单纯患有精神分裂症（SCHZ）以及同时患有物质使用障碍（SUD）（SCHZ+SUD）患者门诊治疗质量的差异影响。我们使用了一个州医疗补助计划的理赔数据，并采用了带有逻辑回归和双重差分公式回归模型的回顾性准实验设计。结果显示，与SCHZ+SUD人群相比，CO与SCHZ人群治疗质量的更大变化相关。在这两个人群中最明显的是，参与CO安排的参保者接受心理社会治疗的情况有所减少。
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本文引用的文献
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The effect of a managed behavioral health carve-out on quality of care for medicaid patients diagnosed as having schizophrenia.管理式行为健康分离对诊断为精神分裂症的医疗补助患者护理质量的影响。
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