title: A proposal for psychiatric collaboration in managed care.
abstract: Managed care has significantly expanded the scope of the biopsychosocial model and its meaning to the practice of psychiatry. The most radical change in treatment has come at the expense of the relationship between the patient and the psychiatrist. Increasingly, various clinicians and administrators are being incorporated into the treatment team. Under these circumstances, treatment may be compromised or proceed with great difficulty. At the same time, this complex arrangement offers many opportunities and challenges that may result in shared learning, enhanced quality, and expedited patient care. A framework of collaboration is proposed as a model that best serves the patient, practitioner, and representatives of the third party.
authors.affiliation: Network Services, TAO, Philadelphia, PA 19103.
authors.forename: A
authors.initials: A
authors.lastname: Lazarus
mesh_terms: D000328:Adult; D005260:Female; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration / Q000592:standards; D010817:Physician-Patient Relations; D010821:Physicians, Family; D011570:Psychiatry; D012017:Referral and Consultation