Geraty R D
Medco Behavioral Care Corporation, Park Ridge, NJ 07656, USA.
Gen Hosp Psychiatry. 1995 Jul;17(4):245-50. doi: 10.1016/0163-8343(95)00038-s.
Mental health care delivery has undergone substantial changes in recent years. This article reviews the evolution of managed care in the mental health care field and outlines managed behavioral health care techniques used in providing access to high-quality, cost-effective care. The expansion of general hospital psychiatry over the last 25 years is also reviewed. Current strengths of general hospital psychiatry which make it well positioned for an expanded role in behavioral health care delivery are examined. Recommendations are made for further improvements in the clinical, administrative, and financial aspects of general hospital psychiatry care delivery to prepare it for the integrated behavioral health care systems of tomorrow.
近年来，精神卫生保健服务发生了重大变化。本文回顾了精神卫生保健领域管理式医疗的发展历程，并概述了在提供高质量、具有成本效益的护理服务中所采用的管理式行为健康护理技术。还回顾了过去25年综合医院精神病学的发展情况。研究了综合医院精神病学目前的优势，这些优势使其在行为健康护理服务中能够发挥更大的作用。针对综合医院精神病学护理服务在临床、管理和财务方面的进一步改进提出了建议，以便为未来的综合行为健康护理系统做好准备。
