Harris M, Bergman H C
George Washington University, Washington, D.C.
Hosp Community Psychiatry. 1988 Jan;39(1):68-72. doi: 10.1176/ps.39.1.68.
The method chosen for financing mental health care has profound implications for how that care will be delivered. Fee-for-service methods of reimbursement impede the implementation of certain essential program components. Capitation financing, in contrast, holds the promise of promoting an integrated system of care for chronic mental patients. The authors present data from a case management program that incorporates capitation financing. Discussion focuses on factors that planners need to consider when instituting a capitated financing system.
为精神卫生保健选择的融资方法对其提供方式有着深远影响。按服务收费的报销方式阻碍了某些基本项目组成部分的实施。相比之下，按人头筹资有望促进为慢性精神病患者建立综合护理体系。作者展示了一个纳入按人头筹资的病例管理项目的数据。讨论集中在规划者在建立按人头筹资系统时需要考虑的因素上。
