This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Daniel X. Freedman, MD; Stephen M. Stahl, MD, PhD

JAMA. 1993;270(2):252-254.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Change! The concern of all US physicians centers on needed health care reforms. Uncertainty is the rule: about modes of practice and reimbursement, ritualized guidelines vs informed clinical judgment, the roles of general and specialized physicians and their "gatekeepers," and more.¹ Research is an abiding concern, since the chaotic shift of psychiatric and substance abuse research from the former Alcohol, Drug Abuse, and Mental Health Administration to the National Institutes of Health incurred a loss of at least $15 million for current basic and clinical research grants and may require shifts of $55 million more from such critical efforts. Such policy worries perturb all of medicine. For psychiatrists, with 40% to 50% of the treated disorders encountered in general medicine, their role as accessible consultants implementing relevant knowledge transfer looms large. For their patients, the prospects of unfair discrimination in health care reform loom larger.

Recent research focuses on . . . [Full Text PDF of this Article]

Author Affiliations
UCLA, Calif; University of California School of Medicine, San Diego

Footnotes
Dr Freedman died June 2, 1993.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?