Psychiatric Services
- Volume 41
- Number 10
- October 1990
Article
Publication date: 01 October 1990
Pages1087–1091Managed care may be viewed as the most recent attempt to control the rate of increase of health and mental health care costs in the United States. The majority of people who receive insured mental health services do so through some form of managed care ...
https://doi.org/10.1176/ps.41.10.1087Publication date: 01 October 1990
Pages1092–1095The author argues that rational mental health care delivery is possible through an appropriate managed care system of independent providers. The right model for delivery of care incorporates principles that include rational assignment of clinical ...
https://doi.org/10.1176/ps.41.10.1092Publication date: 01 October 1990
Pages1095–1098Some form of patient care review has become an integral component of most health insurance plans. The author describes the numerous ways in which such review negatively affects the therapeutic relationship between the doctor and the patient. Pressured to ...
https://doi.org/10.1176/ps.41.10.1095Publication date: 01 October 1990
Pages1099–1102Utilization management is a mechanism for managing health care costs by assessing the appropriateness of care and influencing decisions about its provision to ensure the least costly but most effective treatment. Thus while primarily focused on reducing ...
https://doi.org/10.1176/ps.41.10.1099Publication date: 01 October 1990
Pages1103–1105Impelled by the need to contain health care costs and to ensure that treatment is both necessary and appropriate, most physician organizations have begun to develop standards and guidelines for clinical practice, commonly called practice parameters. Last ...
https://doi.org/10.1176/ps.41.10.1103Publication date: 01 October 1990
Pages1106–1111Records of 725 patients with a primary discharge diagnosis of depression were reviewed at nine general hospitals: three with psychiatric units, three in which patients were treated in beds grouped together on a medical or surgical floor (cluster beds), ...
https://doi.org/10.1176/ps.41.10.1106Publication date: 01 October 1990
Pages1112–1115Investigations of assaults in psychiatric hospitals have found that a small proportion of inpatients are responsible for a large percentage of the violence that occurs. In a large state hospital patients who were repeatedly violent (recidivists) were ...
https://doi.org/10.1176/ps.41.10.1112Past Issues
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