Lorenz Curves: A New Model for the Distribution of Psychiatric Services.
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| Title: | Lorenz Curves: A New Model for the Distribution of Psychiatric Services. |
|---|---|
| Authors: | Lewis, Elizabeth N., Nash, Kenneth C., Kelleher, Kelly J. |
| Source: | Journal of Child & Family Studies. Dec2003, Vol. 12 Issue 4, p475. 8p. 3 Graphs. |
| Subjects: | Medical care, Emotions |
| Abstract: | The growth of child and adolescent psychiatric services based on the wraparound philosophy raises new questions for medical directors, investigators, and clinicians interested in improving quality of care and outcomes. Typically, quality improvement studies have focused on standardizing care and decreasing variation while community based services following a wraparound model are by definition individualized. To date, little information on how to evaluate such services in a managed care environment has been available. We present one option for evaluating the distribution of medical services and the extent to which providers individualize services for children with severe emotional disorders. Specifically, we (a) review the philosophy and goals of wraparound services, (b) introduce the Lorenz curve as a tool for determining the degree of inequality in service distribution at a given institution, and (c) present a case study on the use of Lorenz curves by a Medicaid Behavioral Health Organization in profiling behavioral providers. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 10965458 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Lorenz Curves: A New Model for the Distribution of Psychiatric Services. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Lewis%2C+Elizabeth+N%2E%22">Lewis, Elizabeth N.</searchLink><br /><searchLink fieldCode="AR" term="%22Nash%2C+Kenneth+C%2E%22">Nash, Kenneth C.</searchLink><br /><searchLink fieldCode="AR" term="%22Kelleher%2C+Kelly+J%2E%22">Kelleher, Kelly J.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+%26+Family+Studies%22">Journal of Child & Family Studies</searchLink>. Dec2003, Vol. 12 Issue 4, p475. 8p. 3 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: The growth of child and adolescent psychiatric services based on the wraparound philosophy raises new questions for medical directors, investigators, and clinicians interested in improving quality of care and outcomes. Typically, quality improvement studies have focused on standardizing care and decreasing variation while community based services following a wraparound model are by definition individualized. To date, little information on how to evaluate such services in a managed care environment has been available. We present one option for evaluating the distribution of medical services and the extent to which providers individualize services for children with severe emotional disorders. Specifically, we (a) review the philosophy and goals of wraparound services, (b) introduce the Lorenz curve as a tool for determining the degree of inequality in service distribution at a given institution, and (c) present a case study on the use of Lorenz curves by a Medicaid Behavioral Health Organization in profiling behavioral providers. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=10965458 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1023/A:1026072209070 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 475 Subjects: – SubjectFull: Medical care Type: general – SubjectFull: Emotions Type: general Titles: – TitleFull: Lorenz Curves: A New Model for the Distribution of Psychiatric Services. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Lewis, Elizabeth N. – PersonEntity: Name: NameFull: Nash, Kenneth C. – PersonEntity: Name: NameFull: Kelleher, Kelly J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2003 Type: published Y: 2003 Identifiers: – Type: issn-print Value: 10621024 Numbering: – Type: volume Value: 12 – Type: issue Value: 4 Titles: – TitleFull: Journal of Child & Family Studies Type: main |
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