Treatment Patterns in Prepaid Psychiatric Care
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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