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Treatment Patterns in Prepaid Psychiatric Care
OTTO H. SPOERL
Am J Psychiatry 1974;131:56-59.
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Staff Psychiatrist, Group Health Medical Center, 200 15th Ave. East, Seattle, Wash. 98102, and Clinical Assistant Professor of Psychiatry, University of Washington, Seattle, Wash

1974, The American Psychiatric Association

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Abstract

The author describes the evolution and current functioning of a menial health service in an HMO that serves more than 175,000 members in the Seattle metropolitan area. A cohort of 159 patients was followed for 18 months to investigate referral patterns, categories of presenting problems, diagnostic impressions, treatment modalities, and patterns of utilization. The advantages and problems of the prepayment system vis-à-vis psychiatric care are discussed.

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