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针对重度精神疾病患者群体的按人头付费模式:就业成果

A capitated model for a cross-section of severely mentally ill clients: employment outcomes.

作者信息

Chandler D, Meisel J, Hu T, McGowen M, Madison K

机构信息

University of California, Berkeley, USA.

出版信息

Community Ment Health J. 1997 Dec;33(6):501-16. doi: 10.1023/a:1025048619416.

Abstract

Employment outcomes are examined in a three year controlled study of two Integrated Service Agencies (ISAs) for a cross-section of severely mentally ill clients. At each site significantly more ISA members than comparison clients obtained some paid employment. At the urban site the difference was dramatic: 73 vs 15 percent worked during the study period, and 29 percent of the ISA clients worked competitively. The significant but still limited ISA results argue for increased employment opportunities for all seriously mentally ill clients.

摘要

在一项针对两类综合服务机构(ISAs)中患有严重精神疾病的服务对象的为期三年的对照研究中,对就业结果进行了考察。在每个地点,获得有偿工作的ISA成员明显多于作为对照的服务对象。在城市地点,差异十分显著:在研究期间,73%的ISA成员有工作,而对照服务对象中这一比例为15%,且29%的ISA服务对象从事竞争性工作。ISA取得的结果虽显著但仍有限,这表明应为所有患有严重精神疾病的服务对象增加就业机会。

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