衡量综合医疗各维度的差异：马里兰州医疗补助健康之家模式
Measuring Variation Across Dimensions of Integrated Care: The Maryland Medicaid Health Home Model.
作者信息
Kennedy-Hendricks Alene, Daumit Gail L, Choksy Seema, Linden Sarah, McGinty Emma E
机构信息
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Center for Mental Health and Addiction Policy Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
出版信息
Adm Policy Ment Health. 2018 Nov;45(6):888-899. doi: 10.1007/s10488-018-0871-0.
Despite the proliferation of initiatives to integrate services for people with serious mental illness (SMI), measures of distinct dimensions of integration, such as spatial arrangement and care team expertise, are lacking. Such measures are needed to support organizations' assessment of progress toward integrated service delivery. We developed measures characterizing integration of behavioral, somatic, and social services to operationalize the integrated care dimensions conceived by the Agency for Healthcare Research and Quality. In a survey fielded to 46 Maryland Medicaid health homes (response rate: 96%) serving adults with SMI during 2015-2016, we found that these measures provided a useful description of variation across dimensions of integration.
尽管为患有严重精神疾病（SMI）的人整合服务的举措不断增加，但仍缺乏对整合不同维度的衡量标准，如空间布局和护理团队专业知识。需要这些衡量标准来支持组织对综合服务提供进展的评估。我们制定了衡量行为、躯体和社会服务整合情况的标准，以落实医疗保健研究与质量局设想的综合护理维度。在2015 - 2016年对马里兰州46个为患有SMI的成年人服务的医疗补助健康之家进行的一项调查（回复率：96%）中，我们发现这些标准对整合维度的差异提供了有用的描述。
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