Pollack D A, McFarland B H, George R A, Angell R H
Mental Health Services West, Portland, OR 97204.
HEC Forum. 1993 Sep;5(5):322-39. doi: 10.1007/BF01560486.
The authors describe the ethical considerations underlying the inclusion of mental health services into a prioritized health care system. The Oregon Health Plan is a process for defining and delivering basic health services to an entire state. As the plan was developed, the mental health community needed to decide whether or not to participate in the process and, if so, how. Lengthy discussions among mental health consumers, family members, and providers led to a strategy that emphasized the integration of mental health and chemical dependency services into a comprehensive and universal health care program. This approach appears to have achieved relative parity for mental health.
作者描述了将心理健康服务纳入优先医疗保健系统所涉及的伦理考量。俄勒冈健康计划是一个为整个州定义和提供基本医疗服务的过程。在制定该计划时，心理健康领域需要决定是否参与这一过程，以及如果参与的话，该如何参与。心理健康消费者、家庭成员和提供者之间进行了长时间的讨论，最终形成了一项战略，该战略强调将心理健康和药物依赖服务整合到一个全面且普遍的医疗保健计划中。这种方法似乎已使心理健康实现了相对平等。
