The role of HMOs in health care policy, specifically in treating individuals with long-term persistent mental illness, is a matter of debate.
The following is a response to a summary of the research to date entitled « Health Maintenance Organizations and Persons with Severe Mental Illness » previously published in this journal.
The author argues that capitated pre-paid payment mechanisms can and should be considered separately from the decision of funding an HMO or other managed care structure.
The argument is made that, with proper planning, the existing community mental health system can make capitated payment system changes, while avoiding dual health and social services systems.
Savings in the expenses of dual systems and maintenance of the charitable missions with local oversight of CMHCs can result.
Mots-clés Pascal : Trouble psychiatrique, Aigu, Politique sanitaire, Organisation santé, Santé mentale, Système santé, Etats Unis, Amérique du Nord, Amérique, Economie santé, Homme, HMO
Mots-clés Pascal anglais : Mental disorder, Acute, Health policy, Public health organization, Mental health, Health system, United States, North America, America, Health economy, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0318473
Code Inist : 002B18H05B. Création : 10/04/1997.