Hustead E, Sharfstein S, Muszynski S, Brady J, Cahill J
Am J Psychiatry. 1985 Feb;142(2):181-6. doi: 10.1176/ajp.142.2.181.
After nearly 15 years of nondiscriminatory coverage, the largest plan in the Federal Employees Health Benefits Program cut its coverage of care for mental illness disproportionately to coverage for other health care in 1981 and 1982. "Catastrophic" coverage for inpatient mental illness care was introduced by many of the plans in 1984. The authors review the reductions in coverage from economic and clinical perspectives, highlighting the impact of the disparity between the coverage for mental illness and other medical conditions. The model of catastrophic protection for treatment of mental illness set forth in the Federal Employees Health Benefits Program does not bode well for the patient and family who must cope with such a financial contingency.
在提供了近15年的无差别保险后，联邦雇员健康福利计划中最大的保险计划在1981年和1982年大幅削减了对精神疾病护理的保险范围，与其他医疗保健保险范围相比不成比例。1984年，许多保险计划引入了针对住院精神疾病护理的“灾难性”保险。作者从经济和临床角度回顾了保险范围的缩减情况，强调了精神疾病保险范围与其他医疗状况保险范围之间差异的影响。联邦雇员健康福利计划中提出的精神疾病治疗灾难性保护模式，对于必须应对这种经济意外情况的患者和家庭来说，前景并不乐观。
