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Medicalisering en ondoelmatige zorg in de ggz: De rol van stoornisgericht denken en vergoeden

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Titel: Medicalisering en ondoelmatige zorg in de ggz: De rol van stoornisgericht denken en vergoeden
Autoren: Eurelings, Lisa S.M., Van Os, Jim
Weitere Verfasser: Hersenen-Medisch 1, Brain, Onderzoek
Verlagsinformationen: 2018.
Publikationsjahr: 2018
Schlagwörter: Reimbursement Mechanisms, Self-Help Groups, Medicalization, Stress, Psychological/therapy, Insurance, Health, Reimbursement, Mental Health Services/economics, Journal Article, Humans, English Abstract, Medical Overuse, General Medicine, Mental Disorders/therapy, Netherlands
Beschreibung: A disorder-focused approach in mental healthcare in the Netherlands, combined with a disorder-linked reimbursement system, risks medicalisation of stress-related mental variations that may result from the current societal pressures to be beautiful and successful. Furthermore, a disorder-linked reimbursement system may lead to inappropriate treatment, dictated by group-based guidelines tied to DSM-classifications rather than the complexities and contexts of individual needs for care. Finally, there can be both over- and under-treatment as a result of a free-market healthcare system in which quality of care is equated with symptom reduction. We propose several adaptations, including, firstly, creating eCommunities offering self-help and peer support and, secondly, reinventing mental illnesses as vulnerabilities primarily requiring a 'heal and deal' approach of strengthening resilience as well as reducing symptoms. The conceptual foundation of mental healthcare as a free-market economy, and the current quality system, should be reconsidered. It is fundamental that reimbursement should not depend on arbitrary diagnostic algorithms of disorder.
Publikationsart: Article
Dateibeschreibung: application/pdf
Sprache: Dutch; Flemish
Zugangs-URL: https://dspace.library.uu.nl/handle/1874/375760
Dokumentencode: edsair.od.....10691..92a7ca8ecef850e4e9c6e2065cbc8e73
Datenbank: OpenAIRE
Beschreibung
Abstract:A disorder-focused approach in mental healthcare in the Netherlands, combined with a disorder-linked reimbursement system, risks medicalisation of stress-related mental variations that may result from the current societal pressures to be beautiful and successful. Furthermore, a disorder-linked reimbursement system may lead to inappropriate treatment, dictated by group-based guidelines tied to DSM-classifications rather than the complexities and contexts of individual needs for care. Finally, there can be both over- and under-treatment as a result of a free-market healthcare system in which quality of care is equated with symptom reduction. We propose several adaptations, including, firstly, creating eCommunities offering self-help and peer support and, secondly, reinventing mental illnesses as vulnerabilities primarily requiring a 'heal and deal' approach of strengthening resilience as well as reducing symptoms. The conceptual foundation of mental healthcare as a free-market economy, and the current quality system, should be reconsidered. It is fundamental that reimbursement should not depend on arbitrary diagnostic algorithms of disorder.