Croze C
Adm Policy Ment Health. 2000 Sep;28(1):23-36. doi: 10.1023/a:1007868432725.
For over 10 years states and counties have been adding commercially developed managed care products to community-based systems of care. These programs have dramatically altered the landscape in many public systems across the country. Results have varied from modest success to major failure with some managed behavioral healthcare organizations no longer viewing public contracts as desirable commodities. This article examines the reasons why public purchasers turn to managed care, the basis for a program's success or failure, and the impact of some successful programs on access and service array.
十多年来，各州和各县一直在将商业开发的管理式医疗产品添加到基于社区的医疗系统中。这些项目极大地改变了全国许多公共系统的格局。结果各不相同，从适度成功到重大失败，一些管理式行为医疗保健组织不再将公共合同视为理想的商品。本文探讨了公共购买者转向管理式医疗的原因、项目成败的基础，以及一些成功项目对服务可及性和服务范围的影响。
