谁为多动症成人提供门诊临床治疗?2021 年私人保险和医疗补助参保者按医疗机构类型划分的医疗费用报销分析。

IF 2.7 3区 医学 Q2 PSYCHIATRY
Journal of Attention Disorders Pub Date : 2024-06-01 Epub Date: 2024-03-18 DOI:10.1177/10870547241238899
Melissa L Danielson, Angelika H Claussen, Aziza Arifkhanova, Maria G Gonzalez, Craig Surman
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引用次数: 0

摘要

目的描述为美国成人多动症患者提供整体门诊服务和远程医疗服务的医疗服务提供者类型:利用雇主赞助保险(ESI)和医疗补助(Medicaid)索赔,我们确定了 2021 年接受多动症门诊治疗的 18 至 64 岁参保者。我们使用开单医疗服务提供者代码来计算参保者接受 10 种医疗服务提供者提供的 ADHD 治疗的总体比例和通过远程医疗提供的比例:家庭医生、精神科医生和执业护士/精神科护士是最常见的 ESI 成人医疗服务提供者,但各州的医疗服务提供者类型分布不尽相同。享受医疗补助的成年人接受医生提供的多动症治疗的比例较低。在接受多动症门诊治疗的成人中,约有一半通过远程医疗接受多动症治疗:研究结果可为制定成人多动症临床指南提供参考,并确定指南传播和教育规划的受众。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Who Provides Outpatient Clinical Care for Adults With ADHD? Analysis of Healthcare Claims by Types of Providers Among Private Insurance and Medicaid Enrollees, 2021.

Objective: To characterize provider types delivering outpatient care overall and through telehealth to U.S. adults with ADHD.

Method: Using employer-sponsored insurance (ESI) and Medicaid claims, we identified enrollees aged 18 to 64 years who received outpatient care for ADHD in 2021. Billing provider codes were used to tabulate the percentage of enrollees receiving ADHD care from 10 provider types overall and through telehealth.

Results: Family practice physicians, psychiatrists, and nurse practitioners/psychiatric nurses were the most common providers for adults with ESI, although the distribution of provider types varied across states. Lower percentages of adults with Medicaid received ADHD care from physicians. Approximately half of adults receiving outpatient ADHD care received ADHD care by telehealth.

Conclusion: Results may inform the development of clinical guidelines for adult ADHD and identify audiences for guideline dissemination and education planning.

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来源期刊
CiteScore
7.60
自引率
6.70%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.
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