Giles T R
MCC of Colorado, Denver.
J Behav Ther Exp Psychiatry. 1991 Jun;22(2):83-6. doi: 10.1016/0005-7916(91)90002-m.
Although a substantial body of literature indicates that specialized treatments, usually of a behavioral nature, are available with comparatively superior outcome, much of this information is clinically under-utilized across a wide range of disorders. Until recently, there were few incentives for clinicians to apply state-of-the-art procedures to their clients' problems. Sweeping changes in the health insurance industry, however, are leading to a proliferation of managed mental health care companies driven by economic forces to deliver the most effective and efficient (and therefore most profitable) forms of care. The present paper discusses the history and development of these insurance changes and their implications for the future utilization of behavior therapy.
尽管大量文献表明，通常具有行为性质的专门治疗方法具有相对更好的疗效，但这些信息在临床实践中对于广泛的疾病类型而言，在很大程度上未得到充分利用。直到最近，临床医生几乎没有动力将最先进的治疗方法应用于他们的患者所面临的问题。然而，医疗保险行业的全面变革正促使受经济利益驱动的管理型心理健康护理公司大量涌现，这些公司致力于提供最有效、最高效（从而也是最盈利）的护理形式。本文讨论了这些保险变革的历史与发展，以及它们对行为疗法未来应用的影响。
