 |
|
Diagnosis-Related Groups and Clinical Research in Psychiatry
Harold Alan Pincus, MD;
Joyce West;
Howard Goldman, MD, PhD
Arch Gen Psychiatry. 1985;42(6):627-629.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
|
|
|
In response to the rising costs of health care, Congress initiated a dramatically new payment system for Medicare as part of the Social Security Amendments of 1983.1,2 It is anticipated that the shift from retrospective cost-based reimbursement for inpatient care to prospective payment on the basis of 467 diagnosis-related groups (DRGs) will significantly decrease hospital costs by fundamentally altering the incentives, and thus the behavior, of hospitals and physicians.3 These revolutionary changes will permeate all areas of medicine. Unfortunately, not all of the intended and unintended side effects of this change have been examined fully. Particularly unexamined have been the potential effects of these changes on clinical research, especially clinical research in psychiatry.
Several authorities have drawn attention to the generic issues surrounding DRGs and clinical research. Heyssel4 has warned that the functions that academic health centers perform in research and education are in considerable danger of
. . . [Full Text PDF of this Article]
Author Affiliations
From the National Institute of Mental Health, Rockville, Md (Drs Pincus and Goldman); and Cornell University, Ithaca, NY (Ms West).
Footnotes
Accepted for publication March 29, 1985.
Reprint requests to National Institute of Mental Health, 5600 Fishers Lane, Room 17C27, Rockville, MD 20857 (Dr Pincus).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
|
