Managed care and clinical decision-making in child and adolescent behavioral health: provider perceptions

This study investigated how managed care affects clinical decision-making in a behavioral health care system. Providers serving children and adolescents under both managed and unmanaged care (n = 28) were interviewed about their awareness of differences between the benefit arrangements, how benefits...

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Bibliographic Details
Published in:	Administration and policy in mental health and mental health services research Vol. 30; no. 4; pp. 307 - 321
Main Authors:	Yanos, Philip T, Garcia, Christine I, Hansell, Stephen, Rosato, Mark G, Minsky, Shula
Format:	Journal Article
Language:	English
Published:	United States Springer Nature B.V 01-03-2003
Subjects:	Adolescent Adolescent Health Services - organization & administration Adolescents Behavioral Medicine - organization & administration Child Child Health Services - organization & administration Decision Making Female Health Services Research Humans Male Managed Care Programs - organization & administration Medicaid Mental Health Services - organization & administration New England Patient Satisfaction Quality of Health Care New England
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Summary:	This study investigated how managed care affects clinical decision-making in a behavioral health care system. Providers serving children and adolescents under both managed and unmanaged care (n = 28) were interviewed about their awareness of differences between the benefit arrangements, how benefits affect clinical decision-making, outcomes and quality of care; and satisfaction with care. Quantitative and qualitative findings indicated that providers saw both advantages and disadvantages to managed care. Although most providers recognized the advantages of managed care in increasing efficiency, many were concerned that administrative pressures associated with managed care compromise service quality.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0894-587X 1573-3289
DOI:	10.1023/A:1024185216721