title: Managed care and clinical decision-making in child and adolescent behavioral health: provider perceptions.
abstract: 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.
authors.affiliation: University of Medicine and Dentistry of New Jersey-University Behavioral HealthCare (UMDNJ-UBHC), Newark 07103, USA. yanosph@cmhc.umdnj.edu
authors.forename: Philip T
authors.initials: PT
authors.lastname: Yanos
authors.forename: Christine I
authors.initials: CI
authors.lastname: Garcia
authors.forename: Stephen
authors.initials: S
authors.lastname: Hansell
authors.forename: Mark G
authors.initials: MG
authors.lastname: Rosato
authors.forename: Shula
authors.initials: S
authors.lastname: Minsky
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D001524:Behavioral Medicine / Q000458:organization & administration*; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D003657:Decision Making; D005260:Female; D006302:Health Services Research; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D008484:Medicaid; D008605:Mental Health Services / Q000458:organization & administration*; D009511:New England; D017060:Patient Satisfaction; D011787:Quality of Health Care