Confessions of a concurrent reviewer.

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The author describes his two years of experience as a physician reviewer for two managed care companies. With case examples, he illustrates how the training process and his early activities as a reviewer increased his awareness of the need for accountability in psychiatric practice. He describes several issues that he had to clarify before he felt comfortable in the reviewer's role. Among them were the need for psychiatrists to practice more crisis intervention; the difference between intensive treatment and 24-hour inpatient care; the need to find alternative solutions to situations in which patients are hospitalized for social or logistical reasons; the need for careful discharge planning; and the need to recognize and deal with the adversarial relationships that develop with colleagues whose cases are reviewed. The author offers a typology of the interactions that occur between physician reviewers and attending psychiatrists. He concludes that reviewing may have both salutary and detrimental effects on psychiatric practice.

Original languageEnglish (US)
Pages (from-to)35-40
Number of pages6
JournalPsychiatric services (Washington, D.C.)
Volume47
Issue number1
StatePublished - Jan 1996

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Psychiatry
psychiatrist
Crisis Intervention
Physicians
physician
Patient Discharge
Social Responsibility
Managed Care Programs
crisis intervention
Inpatients
managed care
typology
responsibility
planning
interaction
experience
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Confessions of a concurrent reviewer. / Mohl, P. C.

In: Psychiatric services (Washington, D.C.), Vol. 47, No. 1, 01.1996, p. 35-40.

Research output: Contribution to journalArticle

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