CORE--CARE UNDER CONSTRAINTS

核心——约束下的护理

• 批准号: 6650640
• 负责人: ELIZABETH A BOYD
• 金额: $ 17.24万
• 依托单位: RUTGERS, THE STATE UNIV OF N.J.
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-01 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6650640
• 关键词: Medicare /Medicaid; adolescence (12-20); antidepressants; antipsychotic agents; behavioral /social science research tag; biomedical facility; clinical research; health care cost /financing; health care policy; health care service evaluation; health care service utilization; health insurance; health services research tag; health surveys; human data; human old age (65+); major depression; managed care; mental health epidemiology; mental health services; middle childhood (6-11); outcomes research; patient care management; schizophrenia; therapy compliance

Description: The studies in this core address 1) how financing and organizational incentives affect access to care, service utilization and quality of care, and 2) how benefit design and health policy changes influence the level, mix and quality of health and mental health services for persons with severe mental illness. The goal is to improve understanding of the processes that lead to access to needed services by seriously mentally ill individuals. The understanding is to be developed via a health services approach of examining the real-world relationships between financial and organizational structures and services provided by types of providers to classes of people. Focal themes are: 1) the roles of general medical and specialist mental health (MH) sectors in mediating access to care, 2) the effect of structures of managed behavioral care, and 3) the factors that affect who receives costly treatments.

描述：本核心研究涉及 1) 如何融资和 组织激励影响获得护理、服务利用和 护理质量，以及 2) 福利设计和卫生政策变化如何影响 为人们提供的健康和心理健康服务的水平、组合和质量 患有严重的精神疾病。 目标是提高对导致访问的过程的理解 严重精神病患者需要的服务。理解是 通过检查现实世界的卫生服务方法来开发 财务和组织结构及服务之间的关系 由不同类型的提供者向不同阶层的人提供。重点主题是：1） 一般医疗和专业心理健康 (MH) 部门在调解中的作用 获得护理的机会，2) 管理行为护理结构的影响，以及 3) 影响谁接受昂贵治疗的因素。