RESUMO
Arguments for restructuring of psychiatric service on the principles of medical insurance are given. Because mental disorders are characterized by chronic development and high disability rate, the necessity of mixed budget-insurance financing of psychiatry is grounded. Obligatory state insurance must be conducted for all mentally ill persons. However, only a certain part of outpatient care and the treatment period in hospital are to be insured, while the remaining part of outpatient visits or hospital stay will be financed from the budget. The method of calculation of the incurred number of the doctor's visits and the length of hospital stay during the year is discussed.
Assuntos
Seguro Psiquiátrico/tendências , Adulto , Criança , Atenção à Saúde/economia , Atenção à Saúde/estatística & dados numéricos , Atenção à Saúde/tendências , Financiamento Governamental/economia , Financiamento Governamental/estatística & dados numéricos , Financiamento Governamental/tendências , Humanos , Seguro Psiquiátrico/economia , Seguro Psiquiátrico/estatística & dados numéricos , Federação RussaRESUMO
A comparative study of the mentally ill patients admitted to the hospital for the first time annually over five years (1975-1979) made it possible to establish some tendencies in changes in this population. The follow-up data obtained within a period of 3-5 years were studied. The analysis showed that the inpatient treatment proved to be effective both in controlling the disease in various groups of patients and in altering the composition of the inpatients over the last five years.