Generating Revenues: Fiscal Changes in Public Mental Health Care and the Emergence of Moral Conflicts among Care-Givers
Generate an AI Snapshot to get a quick, structured summary of this paper.
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The goal of enhanced fiscal accountability in the public mental health system is to increase service effectiveness and cost-efficiency, that is, to do better work and to do it for less money, but it is suggested that this strategy could backfire, service providers must focus less on the qualities of the services they deliver, and more on the quantities.
Abstract
The goal of enhanced fiscal accountability in the public mental health system is to increase service effectiveness and cost-efficiency, that is, to do better work and to do it for less money. These study results suggest that this strategy could backfire, as some service providers must focus less on the qualities of the services they deliver, and more on the quantities. The study encourages mental health services researchers to incorporate ethnographic methods into study designs so that participants' experiences can be taken into account when evaluating the impact of system changes.