Jerrell J M, Larsen J K
Hosp Community Psychiatry. 1985 Nov;36(11):1169-74. doi: 10.1176/ps.36.11.1169.
The results of a survey of 71 directors of community mental health centers in 15 states in 1982 and 1983 indicate that CMHCs made major changes in their services, staffing, sources of revenue, administration, and organization to cope with shrinking budgets, increased state regulation, impending prospective payment systems, and accelerating competition from private for-profit health care providers. Services offered by the CMHCs became less comprehensive and more oriented toward chronic and severely ill patients in 1982 and 1983, and entrepreneurial principles were employed to increase efficiency and attract new sources of revenue. These strategies have been successful, but the authors believe more long-range planning is necessary if CMHCs are to retain their distinctive place in the health care system.
1982年和1983年对15个州71家社区心理健康中心主任进行的一项调查结果表明，社区心理健康中心在服务、人员配备、收入来源、管理和组织方面进行了重大变革，以应对预算缩减、州监管加强、即将实施的预期支付系统以及来自私立营利性医疗服务提供者的竞争加剧。1982年和1983年，社区心理健康中心提供的服务变得不那么全面，更倾向于慢性和重症患者，并且采用了企业化原则来提高效率和吸引新的收入来源。这些策略取得了成功，但作者认为，如果社区心理健康中心要在医疗保健系统中保持其独特地位，就需要进行更多的长期规划。
