Access to and Engagement in Substance Use Disorder Treatment Over Time.
Psychiatr Serv
; 71(7): 722-725, 2020 07 01.
Article
en En
| MEDLINE
| ID: mdl-32089081
ABSTRACT
OBJECTIVE:
This study evaluated whether access to and engagement in substance use disorder treatment has improved from 2010 to 2016.METHODS:
Data submitted by commercial and Medicaid health plans, representing over 163 million beneficiaries from 2010 to 2016, were analyzed.RESULTS:
For commercial plans, identification increased (from 1.0% to 1.6%, p<0.001), the initiation rate declined (from 41.9% to 33.7%, p<0.001), and the engagement rate also declined (from 15.8% to 12.1%, p<0.001). The decline in the initiation and engagement rates could not be explained by the increasing identification rates. For Medicaid plans, the identification rate increased (from 3.3% to 6.7%, p<0.001), and the initiation and engagement rates were unchanged.CONCLUSIONS:
Although an increasing proportion of health plan members are being identified with substance use disorders, the majority of these individuals are not engaging in treatment.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Participación del Paciente
/
Programas Controlados de Atención en Salud
/
Medicaid
/
Accesibilidad a los Servicios de Salud
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Psychiatr Serv
Asunto de la revista:
PSIQUIATRIA
Año:
2020
Tipo del documento:
Article