2004
DOI: 10.1007/bf02287289
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Provider turnover in public sector managed mental health care

Abstract: The present study examines the extent of turnover in mental health provider networks within public sector managed mental health care over a 1-year period and its association to provider and practice characteristics. Telephone interviews were conducted with a sample of mental health services providers listed the previous year in the networks of the 3 public sector managed mental health care organizations operating in Puerto Rico. Thirty-one percent of respondents had dropped out of networks. The drop-out rate w… Show more

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Cited by 17 publications
(9 citation statements)
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“…The loss of such individuals is detrimental to community mental health agencies as they are more likely to be open to evidence based practice implementation (38), have higher work-team performance and productivity (39), and their loss raises mental healthcare costs for agencies and consumers (40). Given the moderation effect of stressful climates on the relationship between provider adaptability and organizational commitment, mental health programs should assess and understand their organizational climate and intervene when necessary to reduce stressful climates.…”
Section: Discussionmentioning
confidence: 99%
“…The loss of such individuals is detrimental to community mental health agencies as they are more likely to be open to evidence based practice implementation (38), have higher work-team performance and productivity (39), and their loss raises mental healthcare costs for agencies and consumers (40). Given the moderation effect of stressful climates on the relationship between provider adaptability and organizational commitment, mental health programs should assess and understand their organizational climate and intervene when necessary to reduce stressful climates.…”
Section: Discussionmentioning
confidence: 99%
“…However, general population research suggests that public managed care programs may pose greater challenges to accessing coverage and health care for ethnic minorities compared to whites, negatively affect community-based healthcare systems, and displace culturally-informed and linguistically-fluent providers who know the needs of local people [ 28 ]. Low reimbursements also discourage experienced providers from taking part in such plans [ 29 , 30 ], contributing to a two-tiered healthcare system that further disadvantages economically insecure minorities [ 31 – 33 ]. Minority enrollees have also reported cultural barriers, more problems with access, and lower service utilization and quality of health care [ 32 , 34 – 37 ].…”
Section: Introductionmentioning
confidence: 99%
“…There is also a concern regarding retention of frontline staff in each of these fields (Albizu-García, Ríos, Juarbe, & Alegría, 2004; Mor Barak, Nissly, & Levin, 2001;Parry, 2008). It has been hypothesized that STS is a contributing factor to occupational attrition in the human service professions (Figley, 1995).…”
mentioning
confidence: 98%