Behavioral Health Scientist, Rockville, MD, USA.
Lehigh University, Bethlehem, PA, USA.
Community Ment Health J. 2020 Nov;56(8):1419-1428. doi: 10.1007/s10597-020-00585-9. Epub 2020 Feb 18.
Although the coordination of follow-up behavioral health-related care between hospitals and outpatient behavioral health care settings is important, studies on this topic are few. Claims were selected from Truven Health Analytics' Marketscan databases during 2014 for youth aged 2-18 years who had an inpatient stay with a behavioral health diagnosis. Analyses identified whether youth received a behavioral health follow-up visit within 30 days following a hospitalization. The percentage of children who received post-hospitalization follow-up care was 59.1% (Medicaid) and 59.4% (private insurance). While children less than 15 years old (Medicaid) had increased odds of follow-up care compared with youth aged 15-18 years, children 2-9 years old with commercial insurance had decreased odds of follow-up care. Variations in follow-up care by patient characteristics provide an opportunity to target efforts to increase coordinated care to those who are least likely to receive it.
尽管医院和门诊行为健康护理机构之间协调跟进行为健康相关护理很重要，但针对这一主题的研究很少。2014 年，从 Truven Health Analytics 的 Marketscan 数据库中选择了有行为健康诊断的 2-18 岁住院儿童的索赔。分析确定了儿童在住院后 30 天内是否接受了行为健康随访。接受住院后随访护理的儿童比例为 59.1%（医疗补助）和 59.4%（私人保险）。与 15-18 岁的青少年相比，年龄在 15 岁以下的儿童（医疗补助）接受随访护理的几率更高，而有商业保险的 2-9 岁儿童接受随访护理的几率则更低。根据患者特征的随访护理差异为有针对性地努力增加协调护理提供了机会，以确保那些最不可能获得护理的患者得到护理。
