Department of Health Management and Policy, College of Public Health , University of Iowa , Iowa City, USA.
J Aging Soc Policy. 2011 Jul-Sep;23(3):258-73. doi: 10.1080/08959420.2011.579501.
The Patient Protection and Affordable Care Act supports the translation of collaborative models of mental health care, but how the act will affect older adults remains unclear. The authors examined a sample of older Medicare beneficiaries and evaluated how individual characteristics, local service supplies, and other contextual features corresponded with the identification of older persons with psychiatric diagnoses and their access to specialty mental health care providers. Older adults presented a variety of psychiatric disorders, and their access and use of specialty mental health care related to age; sex; diagnosis; supply of mental health, health, and long-term care providers; and whether an older person lived in a rural area. Translation of collaborative models should consider a range of psychiatric conditions, adjust for varying local provider supplies, and consider the challenges in establishing collaborative care within rural areas.
《患者保护与平价医疗法案》支持精神卫生保健协作模式的转化，但该法案将如何影响老年人尚不清楚。作者对一组老年医疗保险受益人进行了研究，评估了个体特征、当地服务供给以及其他环境特征与识别有精神疾病诊断的老年人及其获得专业精神卫生保健提供者服务之间的关系。老年人表现出多种精神障碍，他们获得和使用专业精神卫生保健服务与年龄、性别、诊断、精神卫生、医疗和长期保健提供者的供给有关，也与老年人居住在农村地区有关。协作模式的转化应考虑一系列精神疾病，调整不同的当地提供者供给，并考虑在农村地区建立协作式护理所面临的挑战。
