The Massachusetts Behavioral Health Program year 5: Transition to a new managed care organization

作     者：Beinecke, RH Keane, RJ Symanzick, M Casey, D 

作者机构：Suffolk Univ Dept Publ Management Boston MA 02108 USA Boston Coll Sch Social Work Chestnut Hill MA 02167 USA 

出 版 物：《ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH》 (精神卫生管理政策)

年 卷 期：1999年第26卷第5期

页      面：313-327页

核心收录：

学科分类：1204[管理学-公共管理] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：医务工作者的态度 行为医学/组织和管理 行为医学/发展趋势 用户满意/统计学和数值数据 合同业务/组织和管理 卫生保健调查 卫生服务易得程度/统计学和数值数据 管理医疗规划/组织和管理 管理医疗规划/标准 管理医疗规划/利用 马萨诸塞 Medicaid/组织和管理 精神障碍/康复 规划制订 卫生保健质量/统计学和数值数据 物质相关性障碍/康复 美国 人类 

摘      要：Year 5 of the Massachusetts Behavioral Health Program was a transition to management by a new private managed care organization. Fifty-eight providers interviewed for an ongoing panel survey reported slightly lower levels of quality, access, utilization, and length of stay than a year earlier. Relationships with providers and advocates improved after an initial difficult period, while consumer and family involvement at all levels remained low. The greatest changes in managed care appeared to take place during the initial transition from fee-for-service care, but intractable problems continue, and full participation of stakeholders seems difficult to achieve.