Managed care has been a market force which has had a profound impact on the delivery of mental health services.
Its very mention stimulates strong reactions and heated debate.
Practitioners complain of myopic cost-cutting which emphasizes corporate profits and minimizes a focus on patient treatment needs.
Businesses complain of escalating health costs and MCOs (Managed Care Organizations) point to their cost-saving measures which have attacked perceived abuses of health care services.
This article adds to the many discussions in the literature by providing a clear discussion of the forces which led to managed care's rise, an examination of its implementation, and an analysis of its effects on the stated problems which it purports to address.
Recommendations for its appropriate function and alternatives are made.
Mots-clés Pascal : Etude critique, Soin intégré, Service santé, Système santé, Organisation santé, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Critical study, Managed care, Health service, Health system, Public health organization, Mental health, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0366302
Code Inist : 002B18H05B. Création : 12/09/1997.