Merrick Elizabeth Levy, Horgan Constance M, Garnick Deborah W, Hodgkin Dominic, Morley Melissa
Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, Mass. 02454, USA.
J Ambul Care Manage. 2008 Oct-Dec;31(4):342-53. doi: 10.1097/01.JAC.0000336553.69707.e5.
Although the disease management industry has expanded rapidly, there is little nationally representative data regarding medical and behavioral health disease management programs at the health plan level. National estimates from a survey of private health plans indicate that 90% of health plan products offered disease management for general medical conditions such as diabetes but only 37% had depression programs. The frequency of specific depression disease management activities varied widely. Program adoption was significantly related to product type and behavioral health contracting. In health plans, disease management has penetrated more slowly into behavioral health and depression program characteristics are highly variable.
尽管疾病管理行业发展迅速，但在健康计划层面，几乎没有关于医疗和行为健康疾病管理项目的全国代表性数据。一项对私人健康计划的调查得出的全国估计数据表明，90%的健康计划产品提供针对糖尿病等一般医疗状况的疾病管理服务，但只有37%设有抑郁症项目。特定抑郁症疾病管理活动的开展频率差异很大。项目采用情况与产品类型和行为健康合同显著相关。在健康计划中，疾病管理在行为健康领域的渗透较为缓慢，且抑郁症项目的特点高度多变。
