Mental health care financing in the process of change : challenges and approaches for Austria

Mental health care financing in the process of change challenges and approaches for Austria

While mental health care has undergone substantial reforms, little attention has been paid to financing issues. This book addresses this shortcoming and brings more transparency into the complex relationship between mental health care reform, service provision and financing. Additionally, it provide...

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Detalles Bibliográficos
Otros Autores: Zechmeister, Ingrid, author (author)
Formato: Electrónico
Idioma:Inglés
Publicado: Bern Peter Lang International Academic Publishing Group 2018
Frankfurt am Main, Germany : 2005.
Edición:First edition
Colección:Forschungsergebnisse der Wirtschaftsuniversität Wien.
Materias:
Mental health services > Austria > Finance.
Mental health planning > Austria.
Approaches
Austria
Care
Challenges
Change
Financing
Finanzierung
Gemeindepsychiatrie
Gesundheitswesen
Health
Health Care
Mental
Mental Illness
Österreich
Process
Reform
Reform Discourse
Zechmeister
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009428781106719
Tabla de Contenidos:
  • Cover
  • LIST OF FIGURES
  • LIST OF TABLES
  • LIST OF ABBREVIATIONS
  • 1. INTRODUCTION
  • 1.1. BACKGROUND AND MOTIVATION OF RESEARCH
  • 1.2. RESEARCH QUESTION
  • 1.3. METHODS, METHODOLOGY AND EPISTEMOLOGICAL BACKGROUND
  • 1.4. STRUCTURE
  • 2. PERSPECTIVES OF MENTAL ILLNESS
  • 2.1. CONCEPTS OF MENTAL ILLNESS FROM A HISTORICAL PERSPECTIVE
  • 2.2. TERMINOLOGY AND DEFINITIONS
  • 2.3. DIMENSIONS OF MENTAL ILLNESS
  • 2.3.1. Epidemiology
  • 2.3.2. Socio-economic Status and Mental Illness
  • 2.3.3. The Burden of Mental Illness
  • 2.4. CONCLUSION
  • 3. MENTAL HEALTH CARE STRUCTURES IN AUSTRIA
  • 3.1. MENTAL HEALTH CARE SERVICE CATEGORIES: AN OVERVIEW
  • 3.2. MENTAL HEALTH CARE SERVICES WITHIN THE HEALTH CARE SYSTEM
  • 3.2.1. Primary Care Services
  • 3.2.2. Secondary Care Services
  • 3.3. MENTAL HEALTH CARE SERVICES OUTSIDE THE HEALTH CARE SYSTEM
  • 3.3.1. Mobile and Ambulatory Psychiatric Services (MAPS), Social Day Structure Services and Employment Related Services
  • 3.3.2. Residential Care
  • 3.4. SERVICE PROVIDERS: A PUBLIC-PRIVATE Mix
  • 3.5. CONCLUSION
  • 4. MENTAL HEALTH CARE FINANCING
  • 4.1. AN OVERVIEW OF MENTAL HEALTH CARE FINANCING IN WESTERN EUROPEAN COUNTRIES
  • 4.1.1. Sources of Funding
  • 4.1.1.1. Funding Mental Health Care Services within the Health Care System
  • 4.1.1.2. Funding Mental Health Care Services outside the Health Care System
  • 4.1.2. Transfer of Funds and Resource Allocation Processes
  • 4.2. CASE-STUDY: UK
  • 4.2.1. Sources of Funding
  • 4.2.1.1. Funding Mental Health Care Services within the Health Care System
  • 4.2.1.2. Funding Mental Health Care Services outside the Health Care System
  • 4.2.2. Transfer of Funds and Resource Allocation Processes
  • 4.3. CASE-STUDY: GERMANY
  • 4.3.1. Sources of Funding
  • 4.3.1.1. Funding Mental Health Care Services within the Health Care System.
  • 4.3.1.2. Funding Mental Health Care Services outside the Health Care System
  • 4.3.2. Transfer of Funds and Resource Allocation Processes
  • 4.4. CASE-STUDY: AUSTRIA
  • 4.4.1. Sources of Funding
  • 4.4.1.1. Funding Mental Health Care Services within the Health Care System
  • 4.4.1.2. Funding Mental Health Care Services Outside the Health Care System
  • 4.4.2. Transfer of Funds and Resource Allocation Processes
  • 4.5. CONCLUSION
  • 5. PARADIGM SHIFT IN MENTAL HEALTH CARE: AN EXPLORATION OF MENTAL HEALTH CARE REFORM OBJECTIVES AND REFORM PROCESSES
  • 5.1. CENTRAL FEATURES OF CHANGE FROM AN INTERNATIONAL PERSPECTIVE
  • 5.2. MENTAL HEALTH CARE REFORM AND REFORM DISCOURSE IN AUSTRIA: A CRITICAL DISCOURSE ANALYSIS
  • 5.2.1. Rationale
  • Excursus: Theoretical and Methodological Considerations of a 'Critical Discourse Analysis'
  • 5.2.2. Empirical Data, Method and Analytical Framework
  • 5.2.3. Mental Health Care Policy in Austria since the 1960s: A Brief Historical Overview
  • 5.2.4. Mental Health Care Plans in Austria: Development and Contents
  • 5.2.5. Analysis of Reform Discourses and Processes
  • 5.2.5.1. The Different Faces of Community Mental Health Care
  • 5.2.5.2. Actor-relationships and Discourse Struggles
  • 5.2.5.3. Mental Health Care between Economisation and Changing Patterns of Governance
  • 5.2.5.4. Towards a Liberal Model of Mental Health Care?
  • 5.3. CONCLUSION
  • 6. MENTAL HEALTH CARE FINANCING IN THE LIGHT OF REFORM OBJECTIVES AND DISCOURSE
  • 6.1. ANALYTICAL FRAMEWORK
  • 6.2. MENTAL HEALTH CARE FINANCING AND IMPACTS ON THE MACRO LEVEL
  • 6.2.1. The Changing Role of the State
  • 6.2.2. The Rising Position of the 'Market'
  • 6.3. MENTAL HEALTH CARE FINANCING AND IMPACTS ON THE MICRO LEVEL
  • 6.3.1. Shifting of the Financial Burden on the Individual Level
  • 6.3.2. 'Consumers' of Mental Health Care: Opportunities and Pitfalls.
  • 6.4. CONCLUSION
  • 7. CONCLUDING REMARKS: WHAT FINANCING FOR MENTAL HEALTH CARE?
  • 7.1. RECOMMENDATIONS FOR THE DEVELOPMENT PROCESS
  • 7.2. GUIDELINES FOR DISCUSSING FINANCING OPTIONS
  • 7.2.1. Content Dimension
  • 7.2.2. Process Dimension
  • 7.3. CLOSING STATEMENT.

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