Frakt Austin B, Trafton Jodie, Pizer Steven D
Healthcare Financing & Economics, VA Boston Healthcare System and School of Medicine, Boston University, 150 S. Huntington Ave, Boston, MA 02130 USA.
Center for Innovation to Implementation, VA Palo Alto Healthcare System, Menlo Park CA, USA.
J Subst Abuse Treat. 2015 Aug;55:58-63. doi: 10.1016/j.jsat.2015.02.009. Epub 2015 Mar 12.
Due to the Affordable Care Act and other recent laws and regulations, funding for substance use disorder (SUD) treatment is on the rise. In the 2000s, the Veterans Health Administration (VA) implemented several initiatives that increased funding for SUD treatment during a period of growth in demand for it. A key question is whether access to and intensity of treatment kept pace or declined. Using VA SUD treatment funding data and patient-level records to construct performance measures, we studied the relationship between funding and access during the VA expansion. Overall, we observed an increase in access to and intensity of VA SUD care associated with increased funding. The VA was able to increase funding for and expand the population to which it offered SUD treatment without diminishing internal access and intensity.
由于《平价医疗法案》以及其他近期的法律法规，物质使用障碍（SUD）治疗的资金投入正在增加。在21世纪头十年，退伍军人健康管理局（VA）实施了多项举措，在对SUD治疗需求增长的时期增加了对其的资金投入。一个关键问题是治疗的可及性和强度是跟上了需求还是下降了。我们利用VA的SUD治疗资金数据和患者层面的记录来构建绩效指标，研究了VA扩张期间资金与可及性之间的关系。总体而言，我们观察到VA的SUD护理的可及性和强度随着资金增加而提高。VA能够增加对SUD治疗的资金投入，并扩大接受SUD治疗的人群，而不会减少内部的可及性和强度。
