The role of public and private transfers in the cost‐benefit analysis of mental health programs
重新审视心理健康经济评估中是否应纳入维持成本的问题,指出当转移支付影响生产力和收入分配时,其具有真实资源效应,不可忽略,并应用于加州三个减少重症精神病患者住院的个案管理项目评估。
This paper revisits the issue of whether to include maintenance costs in an economic evaluation in mental health. The source of these maintenance costs may be public or private transfers. The issue is discussed in terms of a formal cost-benefit criterion. It is shown that, when transfers have productivity effects, income distribution is important, and one recognizes that public transfers have tax implications, transfers can have real resource effects and cannot be ignored. The criterion is then applied to an evaluation of three case management programs in California that sought to reduce the intensive hospitalization of the severely mentally ill.