The impact of political process on hospital psychiatry.
Political forces motivated the New York State Department of Health to withhold payment for Medicaid-financed inpatients on therapeutic passes. The elimination of therapeutic passes had many negative effects on patient care. The authors believe this experience demonstrates that political factors can overwhelm standard clinical practice and reasoned health planning to force irrational change on health care delivery.
D003688:Deinstitutionalization / Q000191:economics* / Q000331:legislation & jurisprudence; D006801:Humans; D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D007398:Interpersonal Relations; D008484:Medicaid / Q000331:legislation & jurisprudence*; D001523:Mental Disorders / Q000628:therapy; D009518:New York; D010351:Patient Discharge / Q000331:legislation & jurisprudence; D011057:Politics; D011567:Psychiatric Department, Hospital / Q000191:economics* / Q000331:legislation & jurisprudence; D012917:Social Adjustment