The article by Shaheen and Ransohoff (1) demonstrates how managed care has forced physicians to reevaluate the cost effectiveness of the procedures that they perform. However, in my 25 years as a primary care doctor, ...
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The article by Shaheen and Ransohoff (1) demonstrates how managed care has forced physicians to reevaluate the cost effectiveness of the procedures that they perform. However, in my 25 years as a primary care doctor, I have seen many patients with colon cancer in the transverse or ascending colon, well beyond the reach of my flexible sigmoidoscope. This makes me wonder if patients would be better served by having a colonoscopy every 10 years or so, rather than having flexible sigmoidoscopies at more frequent intervals. This issue concerns many primary care doctors who perform sigmoidoscopy routinely.
The field of clinical psychology has been characterized over the past five decades as shaped by social, economic, and political forces outside of it. Even before the Boulder Conference. meetings and writings evidenced...
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The field of clinical psychology has been characterized over the past five decades as shaped by social, economic, and political forces outside of it. Even before the Boulder Conference. meetings and writings evidenced the underpinnings of the scientist-practitioner model that was to be developed in a welcoming climate (Dosier, 1947;Kubie. 1949;Luchins, 1949). Difficulties in implementation, however, produced a schism between the scientist and practitioner aspects. Our thesis is that the current environment dictated by managed care necessitates a reaffirmation of the scientist-practitioner model. We believe that clinical psychologists are in an unparalleled position to intercede among forces in the current climate because of their sensitivity to clinical and research issues, and we offer suggestions for how clinicians, researchers, and training programs can close the gap between research and practice. (C) 2000 John Wiley & Sons, inc.
Provides an author's overview of articles discussed in the issue 'Behavioral Sciences and the Law. Problem presented by managed mental health care for clinicians; Examination of various strategies for organizi...
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Provides an author's overview of articles discussed in the issue 'Behavioral Sciences and the Law. Problem presented by managed mental health care for clinicians; Examination of various strategies for organizing and compensating health care providers under managed care; Implications of verbal expressions for informed consent to health care.
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