RESOURCE ALLOCATION FOR MENTAL HEALTH IN US AND CANADA

美国和加拿大的心理健康资源分配

• 批准号: 2415777
• 负责人: BENTSON H MCFARLAND
• 金额: $ 13.16万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-01 至 1999-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2415777
• 关键词: Canada; United States; behavioral /social science research tag; governmental health /scientific organization; health administration; health care cost /financing; health care model; health care policy; health care service evaluation; health care service utilization; health insurance; health surveys; human data; managed care; mental health epidemiology; mental health information system; mental health organization; mental health services; public health

This Research Scientist Development Award application addresses a fundamental question for policy makers -- namely, how to sub-divide the resources allocated to health care. The research focuses on the financing of mental health services. The methodology involves comparing different mental health delivery systems -- including those of the United States and Canada. There is a large body of research showing that mental health problems are common, potentially disabling, yet often quite treatable. Recent studies have indicated that many mental disorders have a biological component. There is growing impetus to further the integration of mental health within the larger health care system. The question naturally arises as to how much of the health care dollar should be allocated for mental health. This question is complicated by the different populations of individuals who use mental health services as well as by the diverse settings in which these services are delivered. Methodology is needed to compare mental health financing, services, and outcomes among different types of health care systems. There is considerable interest in comparing Canadian and American systems for financing mental health services. Detailed accounting methods will be used to compare the portion of the health care dollar assigned to mental health in Oregon with the analogous figure in British Columbia. Methods for calculating those figures will be documented. The techniques necessary to replicate this work in other states and provinces will be disseminated. The award will also lead to the development and refinement of methodology for linking the financial data with outcome measures. Conceptual work will be performed to elaborate a model that relates resource expenditures to mental health outcomes. The model will then be applied to local and national data sets. The anticipated product is a better understanding of the changes in individual and system level outcome measures that might be expected under various health care reform scenarios. The results will include a picture of the changes that might be expected in the mental health area if the United States (or a single state) were to adopt a Canadian style single payer system.

该研究科学家发展奖的应用程序解决了 政策制定者的基本问题 - 即，如何将 分配给医疗保健的资源。该研究重点是融资 精神卫生服务。该方法涉及比较不同的 精神卫生提供系统 - 包括美国的精神卫生系统 加拿大。 有大量研究表明心理健康问题是 常见，潜在的残疾，但通常可以治疗。最近的研究 已经表明许多精神障碍具有生物学成分。 越来越多的动力来进一步融合心理健康 在更大的医疗保健系统中。这个问题自然出现了 应该为心理健康分配多少医疗保健美元。 这个问题的人群不同 谁使用心理健康服务以及通过不同的环境 这些服务已交付。需要方法来比较心理 卫生融资，服务和结果之间的卫生融资 护理系统。 比较加拿大和美国系统有很大的兴趣 用于精神卫生服务融资。详细的会计方法将是 用于比较分配给精神的医疗保健美元的一部分 不列颠哥伦比亚省的俄勒冈州健康状况。方法 用于计算这些数字。这些技术必要的 在其他州和省份复制这项工作将被传播。 该奖项还将导致方法论的发展和完善 将财务数据与结果度量联系起来。概念工作将 执行以详细说明将资源支出与 心理健康结果。然后，该模型将应用于本地和 国家数据集。预期的产品是更好地理解 个人和系统级别的结果度量的变化可能是 预计在各种医疗改革方案下。结果将 包括一张心理中可能预期的变化的图片 如果美国（或单一州）要采用一个卫生区 加拿大风格的单付款人系统。