Perkey B
Am Psychol. 1989 Aug;44(8):1148-50. doi: 10.1037//0003-066x.44.8.1148.
The "privatization" of mental health services during the last decade has literally reshaped the way state and county departments of mental health go about fulfilling their statutory responsibilities. In Tennessee, a conference and later a task force examined the implications of this trend for the future. Two issues came to the forefront: Is it appropriate or possible for the private sector to take over the delivery of all mental health services, and if so, who will ensure that the poor receive adequate care? The Tennessee task force concluded that the privatization trend is appropriate and should be encouraged by government. It further concluded that government is ultimately responsible for ensuring access to care for the poor and uninsured although private facilities should provide some free care. Government best serves the poor by providing them the financial means to purchase care from private providers.
在过去十年里，心理健康服务的“私有化”切实重塑了州和县级心理健康部门履行其法定职责的方式。在田纳西州，一场会议以及后来的一个特别工作组探讨了这一趋势对未来的影响。两个问题凸显出来：私营部门接管所有心理健康服务是否合适或可行？如果可行，谁将确保穷人得到充分的护理？田纳西州特别工作组得出结论，私有化趋势是合适的，政府应予以鼓励。它还得出结论，尽管私立机构应提供一些免费护理，但政府最终有责任确保穷人和未参保者能够获得护理。政府通过为穷人提供从私立医疗机构购买护理的资金手段，能最好地为穷人服务。
