Armstrong S C, Took K J
General Leonard Wood Army Community Hospital (GLWACH), MO.
Mil Med. 1993 Nov;158(11):717-21.
Mental health costs at General Leonard Wood Army Community Hospital (GLWACH) have risen every year. In 1990, $2.7 million had been spent on CHAMPUS mental health costs, 58% of the entire CHAMPUS costs for the hospital's catchment area. Gateway to Care, a plan of coordinated managed care conceived by Health Services Command, was initiated at GLWACH to give the commander and providers more flexibility to control costs and improve access to care. Five major changes were made under GLWACH's mental health coordinated care project. In the first full year of the project, CHAMPUS net costs were reduced to $1.4 million while more comprehensive care was provided to beneficiaries. Cost reduction came primarily from dramatically increasing the size and scope of outpatient care to reduce inpatient admissions.
伦纳德·伍德将军陆军社区医院（GLWACH）的心理健康成本每年都在上升。1990年，已花费270万美元用于民事医疗保健计划（CHAMPUS）的心理健康成本，占该医院服务区域内CHAMPUS总成本的58%。“关爱之门”是卫生服务司令部构思的一项协调管理式护理计划，在GLWACH启动，旨在赋予指挥官和医疗服务提供者更大的灵活性来控制成本并改善医疗服务的可及性。GLWACH的心理健康协调护理项目进行了五项重大变革。在该项目的第一个完整年度，CHAMPUS的净成本降至140万美元，同时为受益人提供了更全面的护理。成本降低主要来自大幅增加门诊护理的规模和范围以减少住院人数。
