The Affordable Care Act and Recent Reforms: Policy Implications for Equitable Mental Health Care Delivery

被引:5
|
作者
Robertson-Preidler, Joelle [1 ]
Trachsel, Manuel [1 ]
Johnson, Tricia [2 ]
Biller-Andorno, Nikola [1 ]
机构
[1] Univ Zurich, Inst Biomed Eth & Hist Med, Winterthurerstr 30, CH-8006 Zurich, Switzerland
[2] Rush Univ, Dept Hlth Syst Management, Coll Hlth Sci, 1700 W Van Buren St 126B TOB, Chicago, IL 60612 USA
关键词
Mental health; Health care reform; Patient Protection and Affordable Care Act; Appropriate care; LOW-INCOME ADULTS; INSURANCE-COVERAGE; SUBSTANCE USE; YOUNG-ADULTS; ETHNIC DISPARITIES; UNMET NEED; ACCESS; DISORDERS; EXPANSION; SERVICES;
D O I
10.1007/s10728-020-00391-0
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Controversy exists over how to ethically distribute health care resources and which factors should determine access to health care services. Although the US has traditionally used a market-based private insurance model that does not ensure universal coverage, the Patient Protection and Affordable Care Act (ACA) in the United States aims to increase equitable access to health care by increasing the accessibility, affordability, and quality of health care services. This article evaluates the impact of the ACA on equitable mental health care delivery according to access factors that can hinder or facilitate the delivery of mental health services based on need. The ACA has successfully expanded coverage to millions of Americans and promoted coordination and access to mental health care; however, financial and non-financial access barriers to mental health care and access disparities remain. Reform efforts should not undervalue the gains that the ACA has made but should attempt to balance considerations of cost and increasing free-market mechanisms with decreasing remaining health care disparities.
引用
收藏
页码:228 / 248
页数:21
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