COSTING MENTAL-HEALTH-SERVICES
COSTING MENTAL-HEALTH-SERVICES
复制标题
DOI：
10.1017/s003329170003659x
复制
发表时间：
1990-11-01
影响因子：
6.9
通讯作者：
BEECHAM, J
中科院分区：
文献类型：
--
作者：
KNAPP, M;BEECHAM, J
本文讨论了四个主要主题：(a)对成本信息产生需求的政策和政治背景；(b)这些要求的性质和分阶段；(c)满足这些需求的经验成本研究的基本规则；(d)对其研究的设计、执行和解释的相关影响。忽视成本或体现成本信息而不遵守或承认四项基本规则的精神卫生保健政策或实践变化只能是可疑的有效性，或者只能用于回答有限范围的问题。但是，正如说明性研究表明的那样，在心理健康服务的评估中增加成本维度并不一定是一项可怕的、意识形态上的妥协或科学上的复杂任务。在不良成本研究的文献中有足够多的例子表明，它并不像一些人想象的那么简单，但也有足够多的好研究的例子来鼓励进一步的尝试。
In this paper four principal topics are addressed: (a) the policy and political contexts in which demands arise for cost information; (b) the nature and phasing of those demands; (c) the basic rules of empirical costs research for meeting those demands; and (d) concomitant implications for the design, execution and interpretation of their research. Mental health care policy or practice changes which ignore costs, or which embody cost information without obeying or recognizing the four basic rules, can only be of dubious validity, or can only be used to answer a limited range of questions. But, as the illustrative studies show, it need not be an horrendous, or ideologically compromising or scientifically complex task to add a cost dimension to the evaluation of mental health services. There are enough examples in the literature of bad costs research to demonstrate that it is not as simple as some people think, but there are also enough examples of good research t o encourage further attempts.