精神卫生保健的质量与成本效益管理。

Quality and cost-effective management of mental health care.

作者信息

Burton W N, Hoy D A, Bonin R L, Gladstone L

机构信息

First National Bank of Chicago, IL 60670.

出版信息

J Occup Med. 1989 Apr;31(4):363-7.

PMID:2715844

Abstract

Corporations have reduced their mental health care benefits by limits on coverage for such services. We report on a comprehensive mental health care program, including prevention and early intervention, hospital utilization review, and consulting psychiatrist, which has improved the quality and has significantly reduced inpatient insurance psychiatric hospitalization costs. Mental health service coverage was actually enhanced. Inpatient psychiatric hospitalization costs 12 months before and after the implementation of a concurrent psychiatric hospital utilization review program were reviewed for a major corporation. Total hospital days and average length of stay decreased by 43% whereas total inpatient psychiatric hospital charges decreased by $309,518. Total inpatient days decreased by 1045. Quality and cost-effective comprehensive psychiatric health care services can be offered by major corporations providing that such benefits are carefully designed and managed.

摘要

公司通过限制此类服务的覆盖范围，减少了其心理健康护理福利。我们报告了一项全面的心理健康护理计划，包括预防和早期干预、医院利用情况审查以及咨询精神科医生，该计划提高了质量，并显著降低了住院保险的精神科住院费用。实际上，心理健康服务覆盖范围得到了加强。对一家大公司实施同步精神科医院利用情况审查计划前后12个月的精神科住院费用进行了审查。总住院天数和平均住院时间减少了43%，而精神科住院总费用减少了309,518美元。总住院天数减少了1045天。只要精心设计和管理此类福利，大公司就可以提供高质量且具有成本效益的综合精神科医疗服务。