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Books > Medicine > General issues > Health systems & services > Mental health services
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Manage or Perish? - The Challenges of Managed Mental Health Care in Europe (Hardcover, 1999 ed.)
Loot Price: R6,162
Discovery Miles 61 620
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Manage or Perish? - The Challenges of Managed Mental Health Care in Europe (Hardcover, 1999 ed.)
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Total price: R6,182
Discovery Miles: 61 820
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"Adapt or perish, now as ever, is Nature's inexorable imperative. "
-H. G. Wells, Mind at the End of Its Tether (1946) Doctors are
trained to treat people suffering from various diseases. This is
the main form of their activity and usually the reason for which
they selected medicine as their profession. The notion that they
should become managers and engage in activi ties such as
programming, calculating cost, assessing cost-benefit ratios, and
thinking about pricing in accordance with the social utility of
their intervention, is both foreign and abhorrent to them. They are
sometimes willing to say how much they need in order to have a
well-functioning service: usually they prefer to state what
specific apparatus and other things they require without specifying
the price of their demand. They can be persuaded to add a price tag
to what they think is necessary for their work: but that was about
as far as they would go, until recently. The growing emphasis on
human rights over the past few decades, the greater emphasis on
quality of life and the public's heightened expectations about
their health led, in many industrialized countries, to a greater
demand for health services. This, com bined with improved
possibilities of diagnosis and treatment (at higher cost ), led to
a significant increase in financial demands which made governments
and health-care systems uneasy and ready to accept any solution
that would stop the spiral of seem ingly endless cost
augmentation."
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