The public treatment of seriously mental ill patients continues to be frustated by the lack of administrative and financial integration of state and community mental health services.
Several states have initiated attempts to improve the cost-effectiveness of public mental health services through mechanisms that create financial incentives fostering community-based alternatives to psychiatric hospitalization.
Examples of such mechanisms include capitation financing systems, performance contracts, regional mental health authorities, utilization review, and bed-targets.
This paper reviews evidence supporting the need for and success of these efforts, and also addresses their limitations.
Mots-clés Pascal : Organisation santé, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Analyse économique, Analyse coût, Traitement communautaire, Hôpital psychiatrique, Hospitalisation, Homme
Mots-clés Pascal anglais : Public health organization, Mental health, United States, North America, America, Economic analysis, Cost analysis, Community treatment, Psychiatric hospital, Hospitalization, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 92-0309556
Code Inist : 002B18H05. Création : 199406.