Mathematica Policy Research, Inc., Cambridge, Massachusetts 02139, USA.
J Aging Soc Policy. 2011 Jan;23(1):58-72. doi: 10.1080/08959420.2011.531989.
Many Medicaid beneficiaries aged 22 to 64 with serious mental illness may be admitted to nursing facilities rather than psychiatric facilities as a result of Medicaid policies prohibiting coverage of inpatient psychiatric care in institutions of mental disease while requiring states to cover nursing facility care. Using nationwide Medicaid Analytic Extract claims from 2002, we found that nearly 16% of nursing home residents aged 22 to 64 had a diagnosed mental disorder, while 45.5% received antipsychotic medication, but these rates varied widely across states. Further research is necessary to determine whether, among the nation's youngest nursing home residents, care in nursing homes is potentially substituting for care in institutions for mental disease or community-based settings.
许多年龄在 22 至 64 岁之间、患有严重精神疾病的医疗补助受益人可能会被安置在疗养院中，而不是精神病院，这是因为医疗补助政策禁止在精神疾病机构中提供住院精神科护理，但要求各州提供疗养院护理。利用 2002 年全国医疗补助分析提取索赔数据，我们发现，近 16%的年龄在 22 至 64 岁的疗养院居民被诊断患有精神障碍，而 45.5%的人接受了抗精神病药物治疗，但各州的这些比例差异很大。有必要进一步研究，以确定在全国最年轻的疗养院居民中，疗养院护理是否有可能替代精神疾病机构或社区环境中的护理。
