Managed care and clinical reality in schizophrenia treatment

Managed care, which now dominates the changes that are taking place in the organization of services for people with serious mental illness, is only the most recent of several cycles of reform over the past 150 years in the care and treatment of people with schizophrenia. The question now is whether...

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Bibliographic Details
Published in:Health affairs (Millwood, Va.) Va.), 1999-09, Vol.18 (5), p.66-70
Main Authors: Sharfstein, S S, Boronow, J J, Dickerson, F B
Format: Article
Language:English
Subjects:
Antipsychotics
Case studies
Clinical outcomes
Companies
Drug abuse
Forecasting
Health care delivery
Health care policy
Health insurance
Health Services Accessibility - trends
Health Services Needs and Demand - trends
Homeless people
Hospitalization
Hospitals
Humans
Incentives
Managed care
Managed Care Programs - trends
Medicaid
Medical treatment
Medicine
Mental disorders
Mental health
Mental health care
Mental health services
Patients
Psychiatrists
Psychosis
Psychotropic drugs
Quality Assurance, Health Care - trends
Quality of service
Reforms
Rehabilitation
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - therapy
Substance abuse
Substance abuse treatment
Treatment methods
United States
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Summary:Managed care, which now dominates the changes that are taking place in the organization of services for people with serious mental illness, is only the most recent of several cycles of reform over the past 150 years in the care and treatment of people with schizophrenia. The question now is whether clinical management systems can be combined with financial incentives to increase the likelihood of high-quality treatment outcomes. A case study illustrates his question from the perspective of clinical reality.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.18.5.66