Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street, MS 035, Waltham, MA 02454-9110, USA.
Adm Policy Ment Health. 2013 Jul;40(4):258-63. doi: 10.1007/s10488-012-0405-0.
Individuals with co-occurring serious mental illness and substance use disorders experience a highly fragmented system of care, contributing to poor health outcomes and elevated levels of unmet treatment needs. Several elements in the health care reform law may address these issues by enhancing the integration of physical and behavioral health care systems. The purpose of this paper is to analyze these elements, which fall into three domains: increasing access, restructuring financing and reimbursement mechanisms, and enhancing infrastructure. We conclude with a consideration of the implementation challenges that lie ahead.
患有严重精神疾病和物质使用障碍的个体经历着高度碎片化的医疗体系，这导致了较差的健康结果和未满足的治疗需求的增加。医疗改革法中的几个要素可以通过增强身体和行为健康护理系统的整合来解决这些问题。本文的目的是分析这些要素，这些要素分为三个领域：增加可及性、重构融资和报销机制以及加强基础设施。最后我们考虑了未来实施所面临的挑战。
