Mission unfulfilled: Potholes on the road to mental health parity

被引:69
作者
Mechanic, D [1 ]
McAlpine, DD [1 ]
机构
[1] Rutgers State Univ, Inst Hlth Hlth Care Policy & Aging Res, Piscataway, NJ 08855 USA
关键词
D O I
10.1377/hlthaff.18.5.7
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
Managed care holds the promise of facilitating parity between general medical care and alcohol, drug, and mental health care by reducing. expenditures, even while expanding benefits. Limitations in our knowledge of variations In needs and treatment standards for substance use and psychiatric illnesses make such disorders an easy target Sor management. Costs for behavioral health care services have been reduced at a faster pace than has been the case for general medical cave costs. The most severely ill face the potential burdens of managed care as access and intensity of care become more uniform across patient populations.
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页码:7 / 21
页数:15
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共 49 条
  • [1] [Anonymous], 1999, MENTAL HLTH SOCIAL P
  • [2] BATTAGLIOLA M, 1994, BUSINESS HLTH JUN, P53
  • [3] Covering mental health and substance abuse services
    Buck, JA
    Umland, B
    [J]. HEALTH AFFAIRS, 1997, 16 (04) : 120 - 126
  • [4] MENTAL-HEALTH SUBSTANCE-ABUSE TREATMENT IN MANAGED CARE - THE MASSACHUSETTS MEDICAID EXPERIENCE
    CALLAHAN, JJ
    SHEPARD, DS
    BEINECKE, RH
    LARSON, MJ
    CAVANAUGH, D
    [J]. HEALTH AFFAIRS, 1995, 14 (03) : 173 - 184
  • [5] Tennessee's failed managed care program for mental health and substance abuse services
    Chang, CF
    Kiser, LJ
    Bailey, JE
    Martins, M
    Gibson, WC
    Schaberg, KA
    Mirvis, DM
    Applegate, WB
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (11): : 864 - 869
  • [6] UTAH PREPAID MENTAL-HEALTH PLAN - THE FIRST YEAR
    CHRISTIANSON, JB
    MANNING, W
    LURIE, N
    STONER, TJ
    GRAY, DZ
    POPKIN, M
    MARRIOTT, S
    [J]. HEALTH AFFAIRS, 1995, 14 (03) : 160 - 172
  • [7] CHRISTIANSON JB, 1989, NEW DIRECTIONS MENTA, V43
  • [8] DICKEY B, 1998, NEW DIRECTIONS MENTA, V78, P115
  • [9] FELDMAN S, 1998, AM J MANAGED CAR JUN, pSP59
  • [10] Frank RG, 1997, PSYCHIATR SERV, V48, P1147