Kuramoto Ford
a Magna Systems, Inc. , Los Angeles , California , USA.
J Soc Work Disabil Rehabil. 2014;13(1-2):44-86. doi: 10.1080/1536710X.2013.870515.
The Patient Protection and Affordable Care Act (ACA) of 2010 offers a comprehensive, integrated health insurance reform program for those who are eligible to enroll. A core feature of the ACA is the integration of primary health, behavioral health, and related services in a new national program for the first time. This article traces the history of past federal services integration efforts and identify varying approaches for implementing them to improve care, especially for underserved populations. The business case for integrated care, reducing escalating health care costs and overcoming barriers to implementation, is also discussed.
2010年的《患者保护与平价医疗法案》(ACA)为符合参保条件者提供了一项全面、综合的医疗保险改革计划。ACA的一个核心特征是首次在一项新的全国性计划中将初级保健、行为健康及相关服务整合在一起。本文追溯了过去联邦政府服务整合工作的历史,并确定了实施这些工作以改善医疗服务(尤其是为服务不足人群)的不同方法。还讨论了整合式医疗的商业案例、降低不断攀升的医疗成本以及克服实施障碍等问题。