Managed care and mental health: personal realities.

Colleen Galambos, Cynthia Rocha, Andrea K McCarter, Daryl Chansuthus
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引用次数: 2

Abstract

A review of the literature revealed mixed reviews on the impact of managed care on mental health service delivery. Research supports that managed care contributes to a reduction in inpatient costs and an increase in outpatient service use. Other studies suggest that there are problems with access and quality of care. An additional issue is whether or not, and to what extent, mental health services are "carved out" from physical health for patients. This study discusses the findings of a qualitative analysis of Medicaid managed care recipients on the barriers and enabling factors to obtaining mental health services in a full carve-out managed care model. Results indicate that reduced access, quality of care problems, and a lack of integration of care exist. Additionally, recipients' interactions with managed care, service providers, and caseworkers affect their mental health care. The results also report on the tactics used by recipients to cope with service problems. Implications for social work practice and research are discussed and recommendations for service delivery and evidence-based education are delineated.

管理式护理和心理健康:个人现实。
对文献的回顾揭示了对管理式护理对精神卫生服务提供的影响的不同评价。研究表明,管理式医疗有助于减少住院费用和增加门诊服务的使用。其他研究表明,在获得护理和护理质量方面存在问题。另一个问题是,精神健康服务是否以及在多大程度上从患者的身体健康中“分离”出来。本研究讨论了一项定性分析的结果,对医疗补助管理护理接受者的障碍和使能因素,以获得心理健康服务在一个完整的雕刻管理护理模式。结果表明,减少获取,护理质量问题,和缺乏整合的护理存在。此外,接受者与管理护理、服务提供者和个案工作者的互动影响他们的心理健康护理。调查结果还报告了受助人处理服务问题的策略。对社会工作实践和研究的影响进行了讨论,并对服务提供和循证教育提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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