Goel Norma L, Keefe Robert H
School of Social Work, Syracuse University, NY 13244-1230, USA.
J Health Soc Policy. 2003;16(3):75-90. doi: 10.1300/J045v16n03_06.
This article examines Medicaid managed care's potential impact on people with developmental disabilities. The authors discuss how the philosophy behind the skills/functional model of service provision for people with developmental disabilities is incongruent with the medical model of managed care. They discuss the policy issues that various states have had to face concerning Medicaid managed care's administration of health benefits for people with developmental disabilities. They extrapolate from the research on managed care to formulate potential models that states might use to administer the health benefits for people with developmental disabilities. Finally, the authors propose policy and research agendas to begin investigating Medicaid managed care's potential impact on people with developmental disabilities.
本文探讨了医疗补助管理式医疗对发育障碍患者的潜在影响。作者讨论了为发育障碍患者提供服务的技能/功能模式背后的理念与管理式医疗的医学模式如何不一致。他们讨论了各州在医疗补助管理式医疗为发育障碍患者管理健康福利方面不得不面对的政策问题。他们从对管理式医疗的研究中推断，以制定各州可能用于为发育障碍患者管理健康福利的潜在模式。最后，作者提出了政策和研究议程，以开始调查医疗补助管理式医疗对发育障碍患者的潜在影响。
