Boyle P J, Callahan D
Health Aff (Millwood). 1995 Fall;14(3):7-22; discussion 23-33. doi: 10.1377/hlthaff.14.3.7.
Praise and blame of managed mental health care are on the rise on many fronts, including allegations that it could adversely affect quality of care, access to care, the physician/patient relationship, and informed patient choice. Given the heterogeneity among managed mental health care organizations--each with differing practices--it is difficult to sift the ethically defensible concerns from the indefensible ones. In this paper we identify and examine the different moral concerns about managed mental health care and mark which problems have been addressed or are in need of resolution. We also identify which problems are unique to managed mental health care.
在许多方面，对管理式心理健康护理的赞扬与批评都在增加，其中包括一些指控，称其可能对护理质量、获得护理的机会、医患关系以及患者的知情选择产生不利影响。鉴于管理式心理健康护理组织之间存在异质性——每个组织的做法都不同——很难从站不住脚的担忧中筛选出在伦理上站得住脚的担忧。在本文中，我们识别并审视了对管理式心理健康护理的不同道德担忧，并指出哪些问题已经得到解决或需要解决。我们还确定了哪些问题是管理式心理健康护理所特有的。
