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首页> 美国卫生研究院文献>American Journal of Public Health >Mental health treatment and medical care utilization in a fee-for-service system: outpatient mental health treatment following the onset of a chronic disease.
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Mental health treatment and medical care utilization in a fee-for-service system: outpatient mental health treatment following the onset of a chronic disease.

机译：收费服务系统中的精神卫生治疗和医疗利用：慢性病发作后的门诊精神卫生治疗。

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摘要

Charges for medical services of persons covered by the Blue Cross/Blue Shield Federal Employees Program from 1974 through 1978 who were first diagnosed as having one of four chronic diseases in 1975 and within one year began mental health treatment (MHT) were compared with persons who also were first diagnosed as having one of these diseases in 1975 but had no subsequent MHT. In the third year following the diagnosis, those having seven to 20 MHT visits had medical charges $309 lower and those having over 21 MHT visits had medical charges $284 lower than the comparison group. The savings in medical charges over three years of the group having seven to 20 MHT visits were a function of lower use of inpatient services and roughly equaled the cost of 20 MHT visits. Outpatient mental health treatment can be included in a fee-for-service medical care system to improve the quality and appropriateness of care and, if not extensive, may also serve to lower medical care costs.
机译：比较了1974年至1978年被蓝十字/蓝盾联邦雇员计划覆盖的人员的医疗服务收费，这些人在1975年首次被诊断出患有四种慢性疾病之一，并在一年之内开始了心理健康治疗（MHT）。也是在1975年首次被诊断为其中一种疾病，但随后没有MHT。诊断后的第三年，进行MHT诊治7至20次的患者医疗费用低309美元，进行MHT诊治21次以上的患者医疗费用比对照组低284美元。该组在7到20次MHT访视下，三年内节省的医疗费用是由于住院服务使用率降低，大约等于20 MHT访视的费用。门诊精神卫生治疗可以包括在有偿服务的医疗体系中，以提高护理的质量和适当性，并且如果不广泛使用，还可以降低医疗费用。

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