Does managed mental health care reallocate resources to those with greater need for services?

被引:12
作者
Alegría, M
McGuire, T
Vera, M
Canino, G
Albizu, C
Marín, H
Matías, L
机构
[1] Univ Puerto Rico, Grad Sch Publ Hlth, San Juan, PR 00936 USA
[2] Boston Univ, Dept Econ, Boston, MA 02215 USA
[3] Univ Puerto Rico, Behav Sci Res Inst, San Juan, PR 00936 USA
关键词
D O I
10.1007/BF02287774
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Evidence points to the existence of two coexisting inefficiencies in mental health care resource allocation: those with need receive too limited or no care while those with no apparent need receive services. In addition to reducing costs, managed mental health care is expected to reallocate treatment resources to those with greater need for services. However, there are no empirical findings regarding this issue. This study tests whether managed mental health care has had a differential impact by level of need. Data consist of three waves of a community sample with a control group. The study finds that managed care has not succeeded in reallocating resources from the unlikely to the definite "needers."
引用
收藏
页码:439 / 455
页数:17
相关论文
共 70 条
[1]   PATTERNS OF MENTAL-HEALTH UTILIZATION AMONG ISLAND PUERTO-RICAN POOR [J].
ALEGRIA, M ;
ROBLES, R ;
FREEMAN, DH ;
VERA, M ;
JIMENEZ, AL ;
RIOS, C ;
RIOS, R .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1991, 81 (07) :875-879
[2]  
ALEGRIA M, 2000, UNPUB MENTAL HLTH CA
[3]   REVISITING THE BEHAVIORAL-MODEL AND ACCESS TO MEDICAL-CARE - DOES IT MATTER [J].
ANDERSEN, RM .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1995, 36 (01) :1-10
[4]  
Bae JP, 1997, HEALTH CARE FINANC R, V18, P1
[5]   ABILITY TO OBTAIN HEALTH-CARE - RECENT ESTIMATES FROM THE ROBERT-WOOD-JOHNSON-FOUNDATION NATIONAL ACCESS TO CARE SURVEY [J].
BERK, ML ;
SCHUR, CL ;
CANTOR, JC .
HEALTH AFFAIRS, 1995, 14 (03) :139-146
[6]  
Bravo M, 1987, Acta Psiquiatr Psicol Am Lat, V33, P27
[8]   Equity in managed care for mental disorders [J].
Burnam, MA ;
Escarce, JJ .
HEALTH AFFAIRS, 1999, 18 (05) :22-31
[9]  
CANINO I, 1996, CULTURE ETHNIITY MEN, P467
[10]   Tennessee's failed managed care program for mental health and substance abuse services [J].
Chang, CF ;
Kiser, LJ ;
Bailey, JE ;
Martins, M ;
Gibson, WC ;
Schaberg, KA ;
Mirvis, DM ;
Applegate, WB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (11) :864-869