Strategies for improving services for the chronic mentally ill.
Strategies for improving services for the chronic mentally ill.
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改善慢性精神病患者服务的策略。
DOI：
10.1176/ps.40.9.916
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发表时间：
1989
期刊：
影响因子：
--
通讯作者：
Lehman,AF
中科院分区：
文献类型：
--
作者：
Lehman,AF
旨在改善慢性精神病患者护理的政策的一个中心目标是更好地协调和整合服务。作者研究了四个现行的政策策略-持续护理团队，地方精神卫生当局，综合权利计划，和人头支付系统，并讨论了他们在四个模式的综合服务计划纳入。这些项目在病人层面指导服务协调的程度上有所不同，但所有四个项目都建立了地方精神卫生当局来监督服务。任何政策战略的成功都取决于一个系统的能力，不仅要管理服务，而且要确保提供成本效益高的服务的假定激励措施能够渗透到训练有素和积极主动的一线工作人员中。
A central goal of policies aimed at improving care of the chronic mentally ill is better service coordination and integration. The author examines four current policy strategies—continuous care teams, local mental health authorities, integrated entitlement programs, and capitation payment systems—and discusses their incorporation in four model programs of integrated services. The programs differ in the degree to which they attempt to direct service coordination at the patient level, but all four programs have created local mental health authorities to oversee services. The success of any of the policy strategies depends on a system's capacity not only to regulate services but to ensure that presumed incentives to deliver cost-effective services filter down to well-trained and motivated front-line staff.