Frank Richard G, Goldman Howard H, McGuire Thomas G
Department of Health Care Policy at Harvard Medical School in Boston, Massachusetts, USA.
Health Aff (Millwood). 2009 May-Jun;28(3):649-59. doi: 10.1377/hlthaff.28.3.649.
Mental health spending attracts attention from payers and policymakers. Historically, the public sector paid directly for a good deal of care, and special institutions and rules governed private-sector spending. During 1971-2002, spending on mental health care grew at much lower rates than spending on other health care. In recent years, the delivery and financing of mental health care have come to look more like those for general health care. We show that in spite of this convergence, important differences remain between general health and mental health care in patterns of spending growth.
心理健康支出引起了付款人和政策制定者的关注。从历史上看，公共部门直接支付了大量的医疗费用，并且特殊机构和规则管理着私营部门的支出。在1971年至2002年期间，心理健康护理支出的增长速度远低于其他医疗保健支出。近年来，心理健康护理的提供和融资方式已变得更类似于一般医疗保健的方式。我们表明，尽管存在这种趋同现象，但一般医疗保健和心理健康护理在支出增长模式方面仍存在重要差异。
