Foster E M, Summerfelt W T, Saunders R C
Vanderbilt Institute for Public Policy Studies, Vanderbilt University, Nashville, TN 37212, USA.
J Ment Health Adm. 1996 Winter;23(1):92-106. doi: 10.1007/BF02518646.
This article examines the costs of treatment under the Fort Bragg Demonstration. It focuses on the direct costs of mental health services and suggests that expenditures on those services were much higher at the Demonstration. Increased access and greater "doses" of services provided at the Demonstration are identified as the proximal causes of the system-level cost difference. Consideration is given to whether these differences in costs and in service use can be attributed to the continuum of care per se or to differences in the financial arrangements under which care was provided. Supplemental analyses suggest that these expenditures were not offset by cost savings elsewhere. Implications for mental health policy are discussed.
本文考察了布拉格堡示范项目下的治疗成本。它聚焦于心理健康服务的直接成本,并指出在该示范项目中,这些服务的支出要高得多。示范项目中增加的服务可及性和更多的“服务剂量”被确定为系统层面成本差异的直接原因。研究考虑了这些成本差异和服务使用差异是可归因于照护连续体本身,还是归因于提供照护时的财务安排差异。补充分析表明,这些支出并未被其他方面的成本节省所抵消。文中还讨论了对心理健康政策的影响。