title: Bureaucratic breakdown: clinical services are suffering.
authors.affiliation: Rhode Island Hospital, Miriam Hospital, Providence, R.I., USA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Goldberg
mesh_terms: D006801:Humans; D007349:Insurance, Health, Reimbursement; D007358:Insurance, Psychiatric; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration*; D014481:United States; D014600:Utilization Review