Libby A M
Center for Mental Health Services Research, Berkeley, CA 94720-5610, USA.
Adm Policy Ment Health. 1997 Mar;24(4):323-38. doi: 10.1007/BF02042517.
This paper reports on a public authority's decision to "make" or "buy" mental health services. Data come from key informant interviews with California county contract or program managers. The questionnaire measures the extent of contracting and the importance of factors that are hypothesized to affect the relative costs of contracting. The percent of contracting by programs ranges from zero to 100, averaging 41%. Sixty-two percent of rural programs perceive little or no competition for public mental health contracts, and contract significantly less than urban programs. The extent of contracting is related to economic and public organizational factors.
本文报道了一个公共机构关于“自行提供”或“购买”心理健康服务的决定。数据来自对加利福尼亚州县合同或项目管理人员的关键信息提供者访谈。该问卷衡量了签约的程度以及假设会影响签约相对成本的因素的重要性。各项目的签约比例从0到100不等，平均为41%。62%的农村项目认为在公共心理健康合同方面几乎没有竞争或没有竞争，且签约比例明显低于城市项目。签约程度与经济和公共组织因素有关。
