Is Managed Care Good for Research and Education?
Managed care and its implications have dominated the debate upon health policy for mental illness and substance abuse within the United States for a decade. Its influences are now beginning to be felt in other countries and systems. Much of the initial reaction was polemic from clinicians concerned with the perceived threat to their methods of care, tempered with recognition that the system needed to change.1 This then spread to concern about research and education in a managed care system. This chapter seeks to show that managed care per se is not bad for these two areas but could be a driving force if correctly engaged.
KeywordsDepression Expense Zucker Myopia
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- 5.P. Fox, and J. Wasserman, 1993, Academic medical centers and managed care: Uneasy partners, Health Affairs. Spring:85–93.Google Scholar
- 6.J. Sabin, and N. Daniels, 1994, Determining ‘medical necessity’ in mental health practice, Hastings Center Report, Nov. -Dec:5–13.Google Scholar
- 10.J. Christianson, and F. Osher, 1994, HMOs, health care reform and persons with serious mental illness. Hosp. and Comm. Psych. 45:898–905.Google Scholar
- 11.H. Pincus, and S. Ferris, 1994, Taking action. Psychiatr. Res. Rep. 9:2.Google Scholar
- 14.K. Wells, 1995, Cost containment and mental health outcomes: Experience from US studies. BJPsych. 166(supp1.27), 43–51.Google Scholar