The effects of behavioral health reform on safety-net institutions: a mixed-method assessment in a rural state.
The effects of behavioral health reform on safety-net institutions: a mixed-method assessment in a rural state.
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DOI：
10.1007/s10488-012-0465-1
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发表时间：
2014-03
影响因子：
2.6
通讯作者：
Waitzkin, Howard
中科院分区：
文献类型：
--
作者：
Willging, Cathleen E.;Sommerfeld, David H.;Aarons, Gregory A.;Waitzkin, Howard
2005年7月，新墨西哥州发起了一项重大的公共资助的行为医疗改革，以减少成本和官僚作风。我们使用混合方法来研究这一改革如何影响工作场所和服务机构的员工，照顾农村和城市地区的低收入成年人。信息技术问题和登记病人、获得授权和提交索赔的繁琐程序导致付款延误，影响了机构的财务状况、提供护理的能力和员工士气。与城市员工相比，改革下农村员工的工作满意度和组织承诺水平较低，离职意愿水平较高。
In July 2005, New Mexico initiated a major reform of publicly-funded behavioral healthcare to reduce cost and bureaucracy. We used a mixed-method approach to examine how this reform impacted the workplaces and employees of service agencies that care for low-income adults in rural and urban areas. Information technology problems and cumbersome processes to enroll patients, procure authorizations, and submit claims led to payment delays that affected the financial status of the agencies, their ability to deliver care, and employee morale. Rural employees experienced lower levels of job satisfaction and organizational commitment and higher levels of turnover intentions under the reform when compared to their urban counterparts.
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影响因子：
5.9
作者：
Aarons, Gregory A.;Sommerfeld, David H.;Hecht, Debra B.;Silovsky, Jane F.;Chaffin, Mark J.
通讯作者：
Chaffin, Mark J.
影响因子：
2.9
作者：
JAYARATNE, S;CHESS, WA
通讯作者：
CHESS, WA
DOI：
10.1007/s10488-006-0039-1
发表时间：
2006-05-01
影响因子：
2.6
作者：
Aarons, Gregory A.;Sawitzky, Angelina C.
通讯作者：
Sawitzky, Angelina C.
影响因子：
3.8
作者：
Hyde, PS
通讯作者：
Hyde, PS
影响因子：
9.7
作者：
Cunningham, P;McKenzie, K;Taylor, EF
通讯作者：
Taylor, EF