Integration;
Co-occurring disorders;
Behavioral health services;
D O I:
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摘要:
Individuals with co-occurring serious mental illness and substance use disorders experience a highly fragmented system of care, contributing to poor health outcomes and elevated levels of unmet treatment needs. Several elements in the health care reform law may address these issues by enhancing the integration of physical and behavioral health care systems. The purpose of this paper is to analyze these elements, which fall into three domains: increasing access, restructuring financing and reimbursement mechanisms, and enhancing infrastructure. We conclude with a consideration of the implementation challenges that lie ahead.
机构:
Univ Texas MD Anderson Canc Ctr, Inst Canc Care Excellence, Unit 415, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Inst Canc Care Excellence, Unit 415, Houston, TX 77030 USA
Albright, Heidi W.
Moreno, Mark
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机构:Univ Texas MD Anderson Canc Ctr, Inst Canc Care Excellence, Unit 415, Houston, TX 77030 USA
Moreno, Mark
Feeley, Thomas W.
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机构:
Univ Texas MD Anderson Canc Ctr, Div Anesthesiol & Crit Care, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Inst Canc Care Excellence, Unit 415, Houston, TX 77030 USA
Feeley, Thomas W.
Walters, Ronald
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机构:
Univ Texas MD Anderson Canc Ctr, Dept Breast Med Oncol, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Inst Canc Care Excellence, Unit 415, Houston, TX 77030 USA
Walters, Ronald
Samuels, Marc
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机构:
HillCo HLTH, Washington, DC USAUniv Texas MD Anderson Canc Ctr, Inst Canc Care Excellence, Unit 415, Houston, TX 77030 USA
Samuels, Marc
Pereira, Alissa
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h-index: 0
机构:
HillCo HLTH, Washington, DC USAUniv Texas MD Anderson Canc Ctr, Inst Canc Care Excellence, Unit 415, Houston, TX 77030 USA
Pereira, Alissa
Burke, Thomas W.
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机构:
Univ Texas MD Anderson Canc Ctr, Dept Gynecol Oncol, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Inst Canc Care Excellence, Unit 415, Houston, TX 77030 USA
机构:
George Washington Univ, Dept Hlth Policy, Sch Publ Hlth & Hlth Serv, Med Ctr, Washington, DC 20006 USAGeorge Washington Univ, Dept Hlth Policy, Sch Publ Hlth & Hlth Serv, Med Ctr, Washington, DC 20006 USA
机构:
George Washington Univ, Sch Publ Hlth & Hlth Serv, Dept Hlth Policy, Washington, DC USAGeorge Washington Univ, Sch Publ Hlth & Hlth Serv, Dept Hlth Policy, Washington, DC USA