Cunningham Peter J
Center for Studying Health System Change in Washington, DC, USA.
Health Aff (Millwood). 2009 May-Jun;28(3):w490-501. doi: 10.1377/hlthaff.28.3.w490. Epub 2009 Apr 14.
About two-thirds of primary care physicians (PCPs) reported in 2004-05 that they could not get outpatient mental health services for patients-a rate that was at least twice as high as that for other services. Shortages of mental health care providers, health plan barriers, and lack of coverage or inadequate coverage were all cited by PCPs as important barriers to mental health care access. The probability of having mental health access problems for patients varied by physician practice, health system, and policy factors. The results suggest that implementing mental health parity nationally will reduce some but not all of the barriers to mental health care.
2004年至2005年期间,约三分之二的初级保健医生报告称,他们无法为患者提供门诊心理健康服务,这一比例至少是其他服务的两倍。初级保健医生指出,心理健康护理提供者短缺、健康计划障碍以及缺乏保险或保险覆盖不足,都是获得心理健康护理的重要障碍。患者出现心理健康服务获取问题的可能性因医生执业情况、卫生系统和政策因素而异。结果表明,在全国范围内实施心理健康平权法案将减少部分但并非全部心理健康护理障碍。