Scheffler R, Ivey S L
School of Public Health and Goldman School of Public Policy, University of California, Berkeley 94506, USA.
Psychiatr Serv. 1998 Oct;49(10):1303-8. doi: 10.1176/ps.49.10.1303.
This paper examines temporal changes in staffing ratios and configuration of mental health providers per 100,000 members within two full-service staff-model health maintenance organizations (HMOs). Overall workforce reductions in all classes of mental health professionals occurred in the two HMOs from 1992 to 1995. Staffing ratios decreased in both HMOs for psychiatrists and psychologists. In one HMO, the ratio of clinical social workers also decreased over this period. Provider ratios from 1995 are benchmarked against state ratios per 100,000 population. Workforce mix for the two HMOs is contrasted with a single-year average for a large managed behavioral health (carve-out) organization. The authors discuss potential implications of the findings for training of several categories of mental health professionals.
本文研究了两家提供全方位服务的员工模式健康维护组织（HMO）中，每10万名成员的心理健康服务人员比例和配置的时间变化。1992年至1995年期间，这两家HMO中各类心理健康专业人员的总体劳动力数量均有所减少。两家HMO中，精神科医生和心理学家的人员配备比例均有所下降。在其中一家HMO中，临床社会工作者的比例在此期间也有所下降。1995年的服务人员比例以每10万人口的州比例为基准。将这两家HMO的劳动力构成与一家大型管理行为健康（分离式）组织的单年平均水平进行了对比。作者讨论了这些发现对几类心理健康专业人员培训的潜在影响。
