This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (33)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Paul J. Fink, MD; Donald Oken, MD

Arch Gen Psychiatry. 1976;33(8):998-1003.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Recent growing concern in many quarters over the distribution, costs, quality, and accessibility of health care in the United States has resulted in diffuse and intense pressures for solutions at all levels. As a consequence, a plethora of federally legislated programs has been developed: HMOs, HSAs, RMPs, comprehensive community mental health centers (CCMHCs), PSROs, and others. These have not only affected patterns of service delivery but have had profound, and not always consistent, effects on licensure, accreditation, the regulation of foreign medical graduates (FMGs), and medical education institutions at all levels. We now have a patchwork of extraordinarily complex programs, each with massive bureaucratic appurtenances, that are in many respects poorly organized, overlapping, and inadequately integrated.^1.2 Reasonable, indeed estimable, purposes have become distorted in their translation into concrete legislated programs of dubious feasibility and diffuse impact, partly as the result of political motivations. In that process, the shorthand program . . . [Full Text PDF of this Article]

Author Affiliations
From the Committee on Primary Care, American Association of Chairmen of Departments of Psychiatry.

Footnotes
Accepted for publication June 8, 1976.

Reprint requests to 721 Fairfax Ave, Norfolk, VA 23507 (Dr Fink).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?