Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Hoge, M. A. Articles by Griffith, E. E.H. Search for Related Content PubMed Citation Articles by Hoge, M. A. Articles by Griffith, E. E.H. Managed Care Programs

Ten Dimensions of Public-Sector Managed Care

Managed care in the public sector remains a poorly defined concept. It is currently understood largely through case examples, an approach of limited usefulness because each managed care initiative is shaped by local forces and is constantly changing. The authors describe ten key dimensions on which such initiatives vary and suggest that they can be used to examine essential characteristics of the initiatives and core differences between them. The dimensions are objectives, scope, organizational structures and authority, enrollment, benefit package, strategies for managing utilization, best practices, financing, quality management and outcomes measurement, and the impact of the initiative on the public mental health system. Using these dimensions to assess existing initiatives, the authors conclude that most focus on one principal dimension to the exclusion of other critical dimensions. The authors argue for a comprehensive approach to planning and implementing managed care projects that should ultimately lead to better care for public-sector populations.

This article has been cited by other articles:

				C. A. Claassen, T. Michael Kashner, S. K. Gilfillan, G. L. Larkin, and A. John Rush Psychiatric Emergency Service Use After Implementation of Managed Care in a Public Mental Health System Psychiatr Serv, June 1, 2005; 56(6): 691 - 698. [Abstract] [Full Text] [PDF]

				J. E. Sabin Managed Care and Health Care Reform: Comedy, Tragedy, and Lessons Psychiatr Serv, November 1, 2000; 51(11): 1392 - 1396. [Full Text] [PDF]

				J. L. Geller The Last Half-Century of Psychiatric Services as Reflected in Psychiatric Services Psychiatr Serv, January 1, 2000; 51(1): 41 - 67. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 1999 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us