Abstract
Supply and demand as classic parameters for determining provision of health care have proven ineffective for planning ambulatory psychiatric services (Bijl et al., 1986). Typical classic epidemiologic measures such as prevalence of illness seem to have little or no relationship to the actual demand for services at our institutes for Community Mental Health Care (CMHC). The designing of services and the allocation of funding for regional mental health care activities have therefore been difficult and controversial subjects. Determination of the correct treatment capacity of CMHC’s (in terms of full-time equivalents) within the various regions in the Netherlands has led to a yet unresolved conflict as to where money is going and for what. Redefining target populations for core programs on the one hand and the diversification of treatment modalities on the other has led to an unbridled growth in the number of products CMHC’s are offering. The stimulus of the coming health insurance reform has further had a profound impact on our approach to service planning even though the system reforms have not yet been implemented.
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Pomerantz, H.B., de Vries, M.W. (1999). From Supply and Demand to Need and Demand. In: Guimón, J., Sartorius, N. (eds) Manage or Perish?. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4147-9_39
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DOI: https://doi.org/10.1007/978-1-4615-4147-9_39
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