Sharfstein S S
Sheppard and Enoch Pratt Health System, Baltimore, MD 21285-6815, USA.
Soc Psychiatry Psychiatr Epidemiol. 1995 Aug;30(5):236-9. doi: 10.1007/BF00789060.
The health care system in the United States is expensive but fails large groups of its citizens, particularly those with serious mental illness. This paper examines the resource implications of adequate treatment for depression. An analysis of the various tasks necessary for a proper treatment program is used to indicate places where the current mechanisms of provision fall short. Appropriate innovations in principles of funding are suggested.
美国的医疗保健系统成本高昂,却让大批公民得不到妥善治疗,尤其是那些患有严重精神疾病的人。本文探讨了为抑郁症提供充分治疗所需的资源情况。通过对适当治疗方案所需的各项任务进行分析,指出当前提供治疗的机制存在不足的地方。文中还提出了在资金原则方面进行适当创新的建议。