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In 1972, McKinlay wrote a literature review summarizing 20 years of sociological research on the use of health services. He found a number of competing research paradigms and concluded with recommendations for empirical work on utilization behavior. Specifically, McKinlay called for research gathering data on sociodemographic characteristics, the role of social networks, stages in health seeking behavior, and organizational impediments to utilization. In the ensuing 27 years, the literature on health services and systems has grown tremendously and has informed public policy. Mental health services and systems research have provided an abundance of indicators and information regarding the organization, distribution, and performance of mental health providers. Organizational and interorganizational data on mental health providers have supplemented individual-level data, enhancing sociological research and theory. Consumers, providers, and policy analysts benefit from this literature as new cycles of reform change the structure and performance of mental health care services. |
