Academic Psychiatry and Health Care Reform: Strategic Initiatives for Sustaining the Clinical Mission.

Autor: McCabe, O. Lee, Gwon, Howard S., McHugh, Paul R., Breakey, William R., Schwartz, Joseph M., Clark, Michael R., Kaminsky, Michael J.
Zdroj: Psychiatric Services; Feb2003, Vol. 54 Issue 2, p236-239, 4p
Abstrakt: Health care reform has posed special challenges for departments of psychiatry in academic medical centers. This report describes one department's strategic responses to a marketplace with high penetration by managed care and provides examples of the kinds of faculty concerns that can arise when major departmental reorganizations are attempted. The department's successful adaptation to a radically altered professional environment is attributed to the following five initiatives: vertical integration and diversification of clinical programs, service line management, outcomes measurement, regional network development, and institutional managed care partnerships Although the authors did not design their adaptive efforts as a research study, they offer objective data to support their conclusion that the viability of their overall clinical enterprise has been sustained despite an external environment inhospitable to academic psychiatry. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index