Economics of practice and inpatient care.
Gen Hosp Psychiatry
; 11(5): 313-9, 1989 Sep.
Article
em En
| MEDLINE
| ID: mdl-2676714
ABSTRACT
The nature and structure of inpatient psychiatric services are rapidly evolving. This article identifies and explores how these changes are being influenced by four interrelated areas rapid growth in general and private hospital psychiatric practice; increased connections of public, private, and voluntary sectors of care; the emergence and quick acceptance of capitated and managed care programs; and dramatic change and growth in the insurance industry. These four interrelated areas further the development of a two-tier system in psychiatry one for those with insurance, and one of the poor and the severely disabled. The changes in these four areas have also led to greater demand for increased economic competition among services, and new alliances and innovations in the delivery of treatment. This article discusses how the four areas have combined to support a two-tier system and how they are likely to affect the future evolution of general and private hospital inpatient psychiatric practice.
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Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Unidade Hospitalar de Psiquiatria
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
Limite:
Humans
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
1989
Tipo de documento:
Article