Mental Health Care Funding Systems and their Impact on Access to Psychotherapy
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Author / Producer
Date
2021-08
Publication Type
Book Chapter
ETH Bibliography
yes
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Abstract
Resource scarcity forces health care systems to set priorities and navigate trade-offs in how they choose to fund different services. Distributive justice principles can help guide health systems to fairly allocate scarce resources in a society. In most countries, mental health care and psychotherapy, in particular, tend to be under-prioritized even though psychotherapy can be an effective treatment for mental health disorders. To create ethical funding systems that support appropriate access to psychotherapy, health care funding systems must consider how they allocate and distribute health care resources through health care financing, coverage criteria, and reimbursement mechanisms. Five health care systems are assessed according to how they finance and reimburse psychotherapy. These health systems use various and often pluralistic approaches that encompass differing distributive justice principles. Although distribution priorities and values may differ, fair and transparent processes that involve all key stakeholders are vital for making ethical decisions on access and distribution.
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Publication status
published
Book title
The Oxford Handbook of Psychotherapy Ethics
Journal / series
Volume
Pages / Article No.
430 - 446
Publisher
Oxford University Press
Event
Edition / version
Methods
Software
Geographic location
Date collected
Date created
Subject
Mental health; Access; Distributive justice; Health care policy; Rationing
Organisational unit
02803 - Collegium Helveticum / Collegium Helveticum