推进心理健康平等,确保儿童获得护理

Nathaniel Z. Counts, Ashwin Vasan
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引用次数: 0

摘要

心理健康和药物使用均等为实现心理健康和药物使用服务更公平的融资提供了一种修辞手段和政策策略,美国已将其作为改善心理医疗服务的主要政策方法。在美国,均等原则的实施改善了儿童医疗服务的可及性,但实施过程中的挑战依然存在,导致治疗差距和差异持续存在,劳动力短缺,医疗质量参差不齐。在美国,最近的一项政策变化要求医疗保险公司提供有关其所有健康状况的承保和报销做法的所有数据。有了这些新数据,我们就能更详细地理解儿童心理健康中的均等原则,以及如何实施和监督均等原则。全球的研究人员、临床医生和倡导者都可以利用这些数据来为均等提供论据和政策方法,支持为儿童心理健康和药物使用护理提供更公平的资助,并促进家庭获得循证护理。
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Advancing mental health parity to ensure children’s access to care
Mental health and substance use parity provides a rhetorical device and policy strategy for achieving more equitable financing of mental health and substance use services, which the U.S. has pursued as a lead policy approach for improving access to mental healthcare. Parity implementation in the U.S. has improved access to care for children, but implementation challenges remain, leading to persistent treatment gaps and disparities, workforce shortages, and variable care quality. In the U.S., a recent policy change required health insurers to make available all of the data on their coverage and reimbursement practices for all health conditions. This new data enables a more detailed conceptualization of what parity means in children’s mental health and how it should be implemented and overseen. Researchers, clinicians, and advocates across the globe can use this data to build the case and the policy approach for parity, supporting more equitable financing of children’s mental health and substance use care and promoting families’ access to evidence-based care.
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