Skip to main content
SpringerLink
Log in

Health care reform: Implications for academic psychiatric institutions

  • Commentary
  • Published:
The journal of mental health administration Aims and scope Submit manuscript

Abstract

Health care reform provides an opportunity to redefine all aspects of our health care delivery system. This article focuses on mental health severices and on the implications of health care reform for academic psychiatric institutions. Questions are raised regarding the challenges that academic psychiatric centers will face in pursuing the traditional responsibilities of research, education, and clinical care. The authors propose that intersystems dialogue will create solutions to the questions. The challenge to academic psychiatric institutions rests in creating the dialogue that will inform and guide new decisions regarding research, education, and clinical priorities with the ultimate aim of ensuring that quality is preserved through reform.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Warshaw C: Domestic violence: Challenges to medical practice.Journal of Women’s Health 1993; 2(1):73–80.

    Article  Google Scholar 

  2. Smith GR, Monson RA, Ray DC: Psychiatric consultation in somatization disorder.New England Journal of Medicine 1986; 314:1407–1413.

    Article  PubMed  Google Scholar 

  3. Wells KB, Stewart A, Burnam MA, et al.: The functioning and well-being of depressed patients: Results from the medical outcomes study.Journal of the American Medical Association 1989; 262:914–919.

    Article  PubMed  CAS  Google Scholar 

  4. Hurowitz JC: Toward a social policy for health (Sounding Board).New England Journal of Medicine 1993; 329(2): 130–133.

    Article  PubMed  CAS  Google Scholar 

  5. Shine KI: The Metropolitan Academic Health Center. Paper presented at the Ninth Conference on Health Policy: The Metropolitan Academic Medical Center: Its Role in an Era of Tight Money and Changing Expectations, New York Hospital-Cornell University Medical Center, December 9, 1993.

  6. Anderson R: Integrating Community Responsive Medicine into the Urban Safety Net Hospital. Paper presented at the Ninth Conference on Health Policy: The Metropolitan Academic Medical Center: Its Role in an Era of Tight Money and Changing Expectations, New York Hospital-Cornell University Medical Center, December 9, 1993.

  7. Regier DA: The linkage of health care reform and health services research.American Journal of Psychiatry 1993; 150:1613–1615.

    PubMed  CAS  Google Scholar 

  8. Chelimsky E: The political debate about health care: Are we losing sight of quality?.Science 1993; 262: 525–528.

    Article  PubMed  CAS  Google Scholar 

  9. Burrow, GN: Tension within the academic health center.Academic Medicine 1993; 68(8):585–587.

    Article  PubMed  CAS  Google Scholar 

  10. Kindig DA, Cultice JM, Mullan F: The elusive generalist physician: Can we reach a 50% goal?.Journal of the American Medical Association 1993; 270(9):1069–1073.

    Article  PubMed  CAS  Google Scholar 

  11. Krakower JY, Jolly P, Beran R: U.S. medical school finances.Journal of the American Medical Association 1993; 270(9):1085–1091.

    Article  PubMed  CAS  Google Scholar 

  12. Schwartz A, Ginsburg PB, LeRoy LB: Reforming graduate medical education. Summary report of the physician payment review commission.Journal of the American Medical Association 1993; 270(9):1079–1082.

    Article  PubMed  CAS  Google Scholar 

  13. Franks P, Nutting PA, Clancy CM: Health care reform, primary care, and the need for research.Journal of the Americal Medical Association 1993; 270(12):1449–1453.

    Article  CAS  Google Scholar 

  14. Magrider-Habib K, Zung WWK, Feussner JR, et al.: Management of general medical patients with symptoms of depression.General Hospital Psychiatry 1989; 11:201–206.

    Article  Google Scholar 

  15. Popkin MK, Callies AL: Psychiatric consultation to inpatients with “early-onset” type I diabetes mellitus in a university hospital.Archives of General Psychiatry 1987; 44:169–171.

    PubMed  CAS  Google Scholar 

  16. Meyer RE: The economics of survival for academic psychiatry.Academic Psychiatry 1993; 17:149–160.

    Google Scholar 

  17. Pallak MS, Cummings NA, Dorken H, et al.: Managed mental health, Medicaid and medical cost offset.New Directors for Mental Health Services 1993, Fall (59):27–40.

    Google Scholar 

  18. Rivo ML, Jackson DM, Clare L: Comparing physician workforce reform recommendations.Journal of the American Medical Association 1993; 270(9):1083–1084.

    Article  PubMed  CAS  Google Scholar 

  19. Rivo ML, Satcher D: Improving access to health care through physician workforce reform: Directions for the 21st century.Journal of the American Medical Association 1993; 270(9):1074–1078.

    Article  PubMed  CAS  Google Scholar 

  20. Astrachan BM, Levinson DJ, Adler DA: The impact of national health insurance on the tasks and practice of psychiatry.Archives of General Psychiatry 1976; 33:785–794.

    PubMed  CAS  Google Scholar 

  21. Wulsin LR, Arnold LM, Hillard LR: Axis I disorders in ER patients with atypical chest pain.International Journal of Psychiatric Medicine 1991; 21:37–46.

    Article  CAS  Google Scholar 

  22. Verbosky LA, Franco KN, Zrull JP: The relationship between depression and length of stay in the general hospital patient.Journal of Clinical Psychiatry 1993; 54:177–181.

    PubMed  CAS  Google Scholar 

  23. Stein LI, Test MA: Alternatives to mental hospital treatment, I: Conceptual model, treatment program, and clinical evaluation.Archives of General Psychiatry 1980; 37:392–397.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Westchester Division, New York Hospital-Cornell Medical Center, 21 Bloomingdale Rd., 10605, White Plains, NY

    Sally K. Severino M.D. (Associate Professor of Clinical Psychiatry)

  2. New York Downtown Hospital, New York, USA

    Henry Chung M.D. (the director of psychiatry instructor of psychiatry)

  3. Cornell University Medical College, USA

    Henry Chung M.D. (the director of psychiatry instructor of psychiatry)

Authors
  1. Sally K. Severino M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Henry Chung M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Severino, S.K., Chung, H. Health care reform: Implications for academic psychiatric institutions. The Journal of Mental Health Administration 22, 77–84 (1995). https://doi.org/10.1007/BF02519200

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02519200

Keywords

Search

Navigation