促进儿童心理健康服务可及性和利用的政策手段：系统评价。
Policy Levers to Promote Access to and Utilization of Children's Mental Health Services: A Systematic Review.
机构信息
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway MS-E88, Atlanta, 30341, GA, USA.
Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.
出版信息
Adm Policy Ment Health. 2019 May;46(3):334-351. doi: 10.1007/s10488-018-00916-9.
Abstract
Policies have potential to help families obtain behavioral healthcare for their children, but little is known about evidence for specific policy approaches. We reviewed evaluations of select policy levers to promote accessibility, affordability, acceptability, availability, or utilization of children's mental and behavioral health services. Twenty articles met inclusion criteria. Location-based policy levers (school-based services and integrated care models) were associated with higher utilization and acceptability, with mixed evidence on accessibility. Studies of insurance-based levers (mental health parity and public insurance) provided some evidence for affordability outcomes. We found no eligible studies of workforce development or telehealth policy levers, or of availability outcomes.
摘要
政策有可能帮助家庭为其子女获得行为健康护理，但对于特定政策方法的证据知之甚少。我们回顾了评估特定政策手段以促进儿童心理健康和行为健康服务的可及性、可负担性、可接受性、可得性或利用率的研究。二十篇文章符合纳入标准。基于位置的政策手段（基于学校的服务和综合护理模式）与更高的利用率和可接受性相关，而在可及性方面的证据则存在差异。基于保险的政策手段（精神健康平等和公共保险）的研究为可负担性结果提供了一些证据。我们没有发现关于劳动力发展或远程医疗政策手段或可得性结果的合格研究。
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