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Article | July 01, 1985

Severity of Illness and Diagnostic Formulation: Classifying Patients for Prospective Payment Systems

Juan E. Mezzich; Steven S. Sharfstein

Psychiatric Services 1985; doi:

Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, Pennsylvania 15213

The American Psychiatric Association

1985 American Psychiatric Association

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Abstract

The authors review several methods for enhancing the clinical utility of psychiatric diagnostic formulations and their value in predicting resource consumption. They suggest incorporating the concept of severity of illness in a comprehensive diagnostic formulation, using an extended coding schema that includes a rating of severity. Other modifications of DSM-III axes are proposed.

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