✦ LIBER ✦

Ethical cautions in the use of outcomes for resource allocation in the managed care environment of mental health

✍ Scribed by Douglas P. Olsen

Publisher: Elsevier Science
Year: 1995
Tongue: English
Weight: 504 KB
Volume: 9
Category: Article
ISSN: 1532-8228
DOI: 10.1016/s0883-9417(95)80021-2

No coin nor oath required. For personal study only.

✦ Synopsis

Increasingly, resources are being allocated through competitive contracting based on outcome data. This context for outcome research renews ethical concern about the nature of outcome data in the field of mental health. The epis-temolo~ of mental illness creates special concerns regarding outcome measurement. Ethical cautions specific to six types of outcome measurement are reviewed: utilization, clinician reports, patient reports, objective measures of diagnostic entities, objective measures of functioning and multifactor research.

Brief guidelines are offered for addressing ethical cautions. Also discussed are the difficulty in defining good outcomes and a social obligation to future generations that may be better addressed through process measurements.

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