MENTAL HEALTH SERVICES RESEARCH PROGRAM IN MANAGED CARE

管理护理中的心理健康服务研究计划

• 批准号: 2462631
• 负责人: THOMAS J MCLAUGHLIN
• 金额: $ 36.59万
• 依托单位: HARVARD PILGRIM HEALTH CARE, INC.
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-04-10 至 2003-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2462631
• 关键词: Medicare /Medicaid; behavioral /social science research tag; disease /disorder prevention /control; health care cost /financing; health care service evaluation; health care service planning; health care service utilization; health insurance; health services research tag; major depression; managed care; mental health services; outcomes research; primary care physician; satisfaction; statistics /biometry

DESCRIPTION (Applicant's Abstract): As organized systems of care move towards becoming the predominant form of health delivery system in the U.S., managed care organizations are attempting to measure and improve health outcomes per unit cost ("value"). This agenda, characteristic of today's managed care organization, is due in large part to the demands of the marketplace which expects reorganization of the health care system in order to maximize benefit at the lowest possible cost. Harvard Pilgrim Health Care (HPHC) proposes to develop a research infrastructure building program (RISP) of mental health services and clinical research in the context of managed care which complements and extends an existing and highly developed process of clinical quality management and improvement cycles. The proposed work will accelerate and facilitate a continuously emerging mental health infrastructure within this large health maintenance organization. It is likely that processes of skill-building and formation of multidisciplinary research groups "invented" or developed at HPHC will be applicable to other managed care organizations. Specific aims of the proposed RISP are to develop multidisciplinary groups of mental health researchers that will: (1) study the organization, process and outcomes of care for mental illness in primary care. This group will be represented by core individuals from within the different divisions of HPHC, researchers from academic organizations with a solid track record in mental health research and educational training, and representatives from the public sector who are increasingly important actors in defining and evaluating mental health care for their clients; (2) explore mechanisms to link primary care providers to mental health specialists in order to improve access to and outcomes of care for common and expensive mental illnesses such as depression with or without substance abuse; (3) examine experiments in the re-organization of mental health care delivery within staff and medical groups components of HPHC to improve patient and provider satisfaction and care ("hybrid models"); (4) examine patient factors associated with access and particularly patient-directed interventions aimed at facilitating entry into traditional health and mental health programs, (5) and, finally to study the special needs of publicly-insured members, especially Medicaid populations which are characterized by disproportionately high levels of serious and chronic mental illness such as schizophrenia and major affective disorders.

描述（申请人的摘要）：作为有组织的护理系统 成为美国卫生提供系统的主要形式 托管护理组织正在尝试衡量和改善健康 单位成本的结果（“值”）。 这个议程，当今的特征 托管护理组织，很大程度上是由于 希望对医疗保健系统进行重组的市场 以最低的成本最大化收益。 哈佛朝圣者健康 Care（HPHC）建议开发研究基础设施建设计划 （RISP）心理健康服务和临床研究 托管护理，可以补充并扩展现有的高度发展 临床质量管理和改进周期的过程。 提议 工作将加速并促进不断出现的心理健康 这个大型健康维护组织中的基础设施。 这是 跨学科的技能建设过程和形成的过程很可能 在HPHC上“发明”或开发的研究小组将适用于其他 托管护理组织。 拟议的RISP的具体目的是开发多学科群体 心理健康研究人员将：（1）研究组织，过程 以及在初级保健中对精神疾病的护理结果。 这个小组将是 由来自HPHC不同分区内的核心个人代表 来自精神上有良好记录的学术组织的研究人员 健康研究和教育培训，以及来自 在定义和 为客户评估心理保健； （2）探索机制 将初级保健提供者与心理健康专家联系起来，以改善 通用和昂贵的精神疾病的护理和结果 例如有或没有药物滥用的抑郁症； （3）检查实验 在员工内部的心理保健交付中重组和组织 HPHC的医疗团体组件以改善患者和提供者 满意度和护理（“混合模型”）； （4）检查患者因素 与访问，特别是患者指导的干预措施有关 促进进入传统卫生和心理健康计划， （5），最后研究公共保险成员的特殊需求， 特别是医疗补助人群的特征 严重和慢性精神疾病的高度不成比例 精神分裂症和主要情感障碍。