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An Appraisal of Various Models

George M. Burnell, MD

Arch Gen Psychiatry. 1971;25(1):49-55.

Abstract
The financing of psychiatric care is an important variable in determining the type of treatment, the duration of hospitalization, and the length of outpatient psychotherapy. Despite many clinical innovations, new legislation, and increased federal funding in the last decade, there are only scant research data on new methods of financing mental health care. Current economic models include (1) fee for service, (2) commercial and governmental insurance plans, (3) prepayment plans, and (4) public subsidy. The advantages and disadvantages of each economic model are analyzed. I conclude that there is a close relationship between economic models and the types of delivery of mental health services and that there is an urgent need for systematic studies of cost, utilization, and clinical effectiveness within the framework of each economic system.

Author Affiliations
Santa Clara, Calif

From the Department of Psychiatry, Kaiser Foundation Hospital-Permanente Medical Group, Santa Clara, Calif.

Footnotes
Accepted for publication Sept 24, 1970.

Reprint requests to Department of Psychiatry, Kaiser Foundation Hospital-Permanente Medical Group, 900 Kiely Blvd, Santa Clara, Calif 95051.

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ABSTRACT