在美国,未得到满足的心理健康护理需求在各个保险细分市场都很普遍。

Health affairs scholar Pub Date : 2024-03-08 eCollection Date: 2024-03-01 DOI:10.1093/haschl/qxae032
Mark K Meiselbach, Catherine K Ettman, Karen Shen, Brian C Castrucci, Sandro Galea
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引用次数: 0

摘要

在美国,有相当一部分抑郁症患者没有接受治疗。虽然心理健康医疗的可及性问题已被记录在案,但最近很少有关于各保险细分市场未满足的心理健康需求的估算。我们使用 2023 年春季收集的具有全国代表性的调查数据,包括参与者报告的抑郁症状严重程度和心理保健使用情况,评估了具有相似抑郁症状严重程度的个人在商业保险、医疗保险、医疗补助和无保险情况下获得心理保健的情况。在报告症状符合中度至重度抑郁症的人群中,37.8% 的人没有抑郁症诊断(41.0%、28.1%、33.6% 和 56.3%,包括商业保险、医疗保险、医疗补助和无保险),51.9% 的人没有看心理健康专科医生(49.7%、51.7%、44.9% 和 91.8%),32.4% 的人在过去 12 个月中因经济能力问题而避免了心理健康护理(30.2%、34.0%、21.1% 和 54.8%)。在所有的保险市场细分中,都有大量的心理健康治疗需求没有得到满足,尤其是在没有保险的个人中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unmet need for mental health care is common across insurance market segments in the United States.

A substantial proportion of individuals with depression in the United States do not receive treatment. While access challenges for mental health care have been documented, few recent estimates of unmet mental health needs across insurance market segments exist. Using nationally representative survey data with participant-reported depression symptom severity and mental health care use collected in Spring 2023, we assessed access to mental health care among individuals with similar levels of depression symptom severity with commercial, Medicare, Medicaid, and no insurance. Among individuals who reported symptoms consistent with moderately severe to severe depression, 37.8% did not have a diagnosis for depression (41.0%, 28.1%, 33.6%, and 56.3% with commercial, Medicare, Medicaid, and no insurance), 51.9% did not see a mental health specialist (49.7%, 51.7%, 44.9%, and 91.8%), and 32.4% avoided mental health care due to affordability in the past 12 months (30.2%, 34.0%, 21.1%, and 54.8%). There was substantial unmet need for mental health treatment in all insurance market segments, but especially among individuals without insurance.

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