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Titolo:
MENTAL-HEALTH AND MANAGED CARE
Autore:
DURHAM ML;
Indirizzi:
KAISER PERMANENTE,KAISER GRP HLTH,CTR HLTH RES,NW DIV,3800 N KAISER CTR DR PORTLAND OR 97227
Titolo Testata:
Annual review of public health
, volume: 19, anno: 1998,
pagine: 493 - 505
SICI:
0163-7525(1998)19:<493:MAMC>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAINTENANCE ORGANIZATIONS; DEPRESSED-PATIENTS; MEDICAL OUTCOMES; ILLNESS; SERVICES; QUALITY; PREPAID; EXPERIENCE; PREVALENCE; CAPITATION;
Keywords:
OUTCOMES; BEHAVIORAL HEALTH; HMOS; CAPITATION; MENTAL HEALTH SERVICES;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
59
Recensione:
Indirizzi per estratti:
Citazione:
M.L. Durham, "MENTAL-HEALTH AND MANAGED CARE", Annual review of public health, 19, 1998, pp. 493-505

Abstract

Managed care has become the dominant method for financing and delivering care far common mental health problems and for people with severe,chronic mental health conditions. Despite the rapid growth of managedmental health care, there is very little research available to guide policy choices. Managed care has led to decreased costs for employers and other payers, mostly through reducing hospital admissions or length of stay. Managed care organizations use staff with lesser levels of training (e.g. social workers instead of psychiatrists) and are more likely to offer group outpatient programs and manualized treatment thantheir fee-for-service counterparts. Despite these differences, there is no clear evidence that health outcomes are worse for patients in managed care. There is an urgent need for researchers to turn their attention to issues such as cost, quality, access, satisfaction, and functional outcomes associated with managed mental health care. The impact of parity of mental health with insurance coverage for physical conditions is another important question that needs to be addressed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 21:24:18