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This paper reports on a public authority's decision to "make" or "buy" mental health services. Data come from key informant interviews with California county contract or program managers. The questionnaire measures the extent of contracting and the importance of factors that are hypothesized to affect the relative costs of contracting. The percent of contracting by programs ranges from zero to 100, averaging 41%. Sixty-two percent of rural programs perceive little or no competition for public mental health contracts, and contract significantly less than urban programs. The extent of contracting is related to economic and public organizational factors.

译文

本文报告了政府决定“提供”或“购买”精神卫生服务的决定。数据来自对加州县合同或项目经理的关键信息提供者访谈。问卷调查了订约的程度以及被认为会影响订约的相对成本的因素的重要性。程序签约的百分比范围从零到100,平均为41%。 62%的农村项目对公共精神卫生合同的竞争知之甚少,甚至没有竞争,而且与城市项目相比,合同项下的竞争明显更少。订约程度与经济和公共组织因素有关。

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