The introduction of new policies in health and social services in Britain has changed the way community care is provided to seriously mentally ill people.
Britain is creating the same problems that have existed in the United States, whereby clinicians struggle to provide services in an environment with multiple payers and perverse incentives.
A simple system in Britain has been replaced with complicated organisational and financial structures that require almost impossible feats by local health and social service staff to coordinate care for patients for whom continuity of care is critical for their survival in the community and their wellbeing.
Seriously mentally ill people are in the middle of these complicated problems.
The creation of a local mental health authority that could be held responsible for community care, as exists in some American states, may be one solution.
Mots-clés Pascal : Organisation santé, Grande Bretagne, Enquête, Politique sanitaire, Adulte, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Public health organization, Great Britain, Inquiry, Health policy, Adult, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0061910
Code Inist : 002B30A01B. Création : 199608.