Health maintenance organizations and persons with severe mental illness.

Health maintenance organizations and persons with severe mental illness.
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保健机构和严重精神疾病患者。

DOI:
10.1007/bf02188884
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发表时间:
1994
影响因子:
2.7
通讯作者:
McFarland,BH
McFarland,BH
中科院分区:
医学4区
文献类型:
--
作者:
McFarland,BH

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美国医疗保健系统改革的许多(如果不是大多数的话)情景意味着健康维护组织(HMO)将继续快速增长。一些倡导者认为,一个全面的医疗保健系统应该在与身体疾病相同的基础上为严重的精神疾病患者提供服务。另一些人指出,严重的精神疾病传统上是由一个单独的社会服务系统来处理的,尽管存在种种缺陷,但至少提供了某种程度的护理。还有一些人认为,允许严重精神病患者“无障碍”地获得医疗保健将是过于昂贵的。受这场辩论的启发,作者回顾了我们对HMO和严重精神疾病患者的了解。有人认为,社区精神卫生项目的工作人员需要了解HMO及其为严重精神疾病患者提供服务的潜在贡献。
Many if not most scenarios for reform of the U.S. health care system imply that health maintenance organizations (HMOs) will continue their rapid growth. Some advocates argue that a comprehensive health care system should offer services to the severely mentally ill on the same basis as the physically ill. Others note that severe mental illness has traditionally been addressed by a separate, social service system which, for all its deficiencies, has at least provided some level of care. Still others contend that allowing severely mentally ill persons “barrier free” access to health care would be prohibitively expensive. Inspired by this debate the author reviews our knowledge about HMOs and persons with severe mental illness. It is argued that workers in community mental health programs need to understand HMOs and their potential contribution to providing services for persons with severe mental illness.
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