国民健康保险下心理健康福利设计的考量因素。
Considerations in the design of mental health benefits under National Health Insurance.
作者信息
Mechanic D
出版信息
Am J Public Health. 1978 May;68(5):482-8. doi: 10.2105/ajph.68.5.482.
Abstract
The existing insurance coverage for mental health benefits provides incentives for hospital as compared with community care and reinforces a medical approach to psychological disability. Moreover, the structure of benefits favors the affluent as compared with the disadvantaged and provides little assistance for the community integration of the chronic mental patient. In considering mental health benefits under National Health Insurance we must be careful to avoid reinforcing these patterns. It is suggested that NHI include a mental health resource development fund intended for building a stronger network of community mental health care and that the pattern of insurance benefits under NHI be consistent with developing psychiatric services on a capitation basis.
摘要
现有的心理健康福利保险与社区护理相比，为住院治疗提供了激励措施，并强化了针对心理残疾的医学治疗方法。此外，与弱势群体相比，福利结构更有利于富裕群体，且为慢性精神病患者融入社区提供的帮助甚少。在考虑国民健康保险下的心理健康福利时，我们必须谨慎避免强化这些模式。建议国民健康保险设立一个心理健康资源开发基金，用于建立更强大的社区精神卫生保健网络，并且国民健康保险下的保险福利模式应与按人头计算发展精神科服务相一致。
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2
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3
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4
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Annu Rev Psychol. 1974;25:417-52. doi: 10.1146/annurev.ps.25.020174.002221.
5
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7
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9
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