The shifting balance of public and private inpatient psychiatric services: Implications for administrators

  • Robert A. Dorwart
  • Sherrie Epstein
  • Harriet Davidson
Article

Abstract

Privatization of mental health care is a major trend in the delivery of mental health services. Besides the marked expansion of private and proprietary facilities there are more complex mechanisms at work, such as conversion from public to private auspices, substitution of private for public inpatient capacity, and overlapping of services between the two sectors. Administrators feel pressure to adopt “business-like” approaches as nonprofit institutions emulate for-profit ones. These influences are described, including increasing marketing, advertising, subspecialization and competitive strategies. The authors suggest that it remains a challenge for administrators to maintain those goals and outcomes most consistent with the mission of the institutions in which they work.

Keywords

Public Health Health Care Mental Health Health Service Mental Health Service 

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Copyright information

© Human Sciences Press 1988

Authors and Affiliations

  • Robert A. Dorwart
    • 1
  • Sherrie Epstein
    • 2
  • Harriet Davidson
  1. 1.Cambridge Hospital Department of PsychiatryCambridgeUSA
  2. 2.Harvard Business School and the J.F.K. School of GovernmentCambridgeUSA

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