Manage or Perish?

The Challenges of Managed Mental Health Care in Europe

  • José Guimón
  • Norman Sartorius

Table of contents

  1. Front Matter
    Pages i-xiii
  2. Peter D. Yates
    Pages 1-9
  3. Zebulon Taintor, Robert Cancro
    Pages 23-42
  4. John A. Talbott
    Pages 43-55
  5. John C. Markowitz
    Pages 57-63
  6. Michael C. Hughes
    Pages 65-70
  7. Elena Sternai-Saraceno
    Pages 81-93
  8. Martin Knapp
    Pages 101-113
  9. Wolfgang Gaebel
    Pages 115-122
  10. Pierre F. Chanoit
    Pages 123-129
  11. I. Pelc, J. Joosten, L. From, I. Bergeret, Y. Ledoux, J. Tecco
    Pages 131-142
  12. Raymond Tempier
    Pages 143-151
  13. Kari Pylkkânen
    Pages 153-159
  14. Ursula Steiner-König
    Pages 161-166
  15. Jacqueline Lalive-Aubert, Roland Eiselé
    Pages 167-172

About this book


"Adapt or perish, now as ever, is Nature's inexorable imperative. " -H. G. Wells, Mind at the End of Its Tether (1946) Doctors are trained to treat people suffering from various diseases. This is the main form of their activity and usually the reason for which they selected medicine as their profession. The notion that they should become managers and engage in activi­ ties such as programming, calculating cost, assessing cost-benefit ratios, and thinking about pricing in accordance with the social utility of their intervention, is both foreign and abhorrent to them. They are sometimes willing to say how much they need in order to have a well-functioning service: usually they prefer to state what specific apparatus and other things they require without specifying the price of their demand. They can be persuaded to add a price tag to what they think is necessary for their work: but that was about as far as they would go, until recently. The growing emphasis on human rights over the past few decades, the greater emphasis on quality of life and the public's heightened expectations about their health led, in many industrialized countries, to a greater demand for health services. This, com­ bined with improved possibilities of diagnosis and treatment (at higher cost!), led to a significant increase in financial demands which made governments and health-care systems uneasy and ready to accept any solution that would stop the spiral of seem­ ingly endless cost augmentation.


Assessment Depression Rehabilitation diagnosis managed care psychiatry quality assurance total quality management (TQM)

Editors and affiliations

  • José Guimón
    • 1
  • Norman Sartorius
    • 2
  1. 1.Department of PsychiatryUniversity of GenevaGenevaSwitzerland
  2. 2.University of GenevaGenevaSwitzerland

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media New York 1999
  • Publisher Name Springer, Boston, MA
  • eBook Packages Springer Book Archive
  • Print ISBN 978-1-4613-6860-1
  • Online ISBN 978-1-4615-4147-9
  • About this book