Stewart Maureen T, Horgan Constance M, Quinn Amity E, Garnick Deborah W, Reif Sharon, Creedon Timothy B, Merrick Elizabeth L
The Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South St., Waltham, MA, USA.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Adm Policy Ment Health. 2017 Nov;44(6):967-977. doi: 10.1007/s10488-017-0812-3.
Health plan policies can influence delivery of integrated behavioral health and general medical care. This study provides national estimates for the prevalence of practices used by health plans that may support behavioral health integration. Results indicate that health plans employ financing and other policies likely to support integration. They also directly provide services that facilitate integration. Behavioral health contracting arrangements are associated with use of these policies. Delivery of integrated care requires systemic changes by both providers and payers thus health plans are key players in achieving this goal.
健康计划政策会影响综合行为健康与普通医疗服务的提供。本研究给出了健康计划所采用的、可能支持行为健康整合的做法的全国患病率估计。结果表明,健康计划采用了可能支持整合的融资及其他政策。它们还直接提供促进整合的服务。行为健康签约安排与这些政策的使用相关。提供综合护理需要医疗服务提供者和支付方都进行系统性变革,因此健康计划是实现这一目标的关键参与者。