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Biomedical subjects

B Liptzin

Publications and source records attributed to B Liptzin.

At least 37 records · Page 2Linked to original sources
PubMed1987

Psychiatry and the nursing home.

In the last two decades, nursing homes have become major providers of health services for the frail elderly. Despite ample evidence of need for specialized psychiatric services in the nursing home setting, the majority of patients who could benefit from such care do not receive it. The authors propose a fourfold role for the psychiatrist, encompassing clinical care, consultation, teaching, and research. Features of this role can be adapted to fee-for-service, community mental health center, and academic models of psychiatric practice.

Aged↗
PubMed1987

Bringing psychiatric patients into the Medicare prospective payment system: alternatives to DRGs.

The basis of Medicare's prospective payment for alcohol, drug abuse, and mental illness hospital admissions has been the patient classification system known as diagnosis-related groups (DRGs). This paper describes two alternative patient classification systems, disease staging and clinically related groups, and reports how well each system predicts resource use compared to the DRG system. Medicare data from four states were used to test the comparative strength of these patient classification systems. Although disease staging and clinically related groups performed better than DRGs, they were still poor predictors of resource use.

Alcoholism↗
PubMed1980

Utilization of health and mental health services in a large insured population.

The authors analyzed 1975 data on the use of health and mental health services by the 2.3 million people covered by Michigan Blue Cross and Blue Shield. Only 4.6% of the covered population submitted hospital or physician claims for mental disorder; these people accounted for 7.3% of total hospital and physician charges for all health services in the covered population. According to the claims submitted, nonpsychiatric physicians saw almost half of all patients who were given a diagnosis of mental disorder, but psychiatrists accounted for the great bulk of mental health services and charges to these patients. High utilizers comprise a small proportion of all patients but account for a high proportion of charges for mental disorders and for all diagnoses.

Adolescent↗
PubMed1979

The psychiatrist shortage. What's the right number?

This report examines the assertion that there is a shortage of psychiatrists in the light of available methodologies for projecting the supply and demand for psychiatrists. We conclude that such projections are of little value and divert attention from other approaches to solving problems in mental health service delivery. Training institutions also have legitimate concerns that need to be addressed. Given the current state of ignorance and current fiscal constraints, government administrators should be modest about their ability to design perfect solutions and should hesitate to impose sweeping changes on the existing service delivery and training system.

Community Mental Health Services↗
PubMed1977

The effects of National Health Insurance on Canadian Psychiatry: the Ontario experience.

After studying psychiatric coverage under national health insurance in Ontario, the author concludes that psychiatric benefits can be provided on the same basis as other medical benefits and that a government system can maintain confidentiality. Costs have been reasonable and in line with the proportion of psychiartists to the total number of physicians, and psychiartists' incomes have increased substantially, even with comparatively low official fees. Despite the existence of NHI, the public mental health system has been maintained in Canada and has been expanded in regard to children's services. There appears to be a continued need for direct public funding of services for certain other groups such as the elderly, chronic patients, ans substance abusers.

Child↗