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

Published Online:https://doi.org/10.1176/ps.36.7.770

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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