Journal of Pediatric Psychology, Vol. 29, No. 1, 2004, pp. 65-66
© 2004 Society of Pediatric Psychology; all rights reserved
Commentary from a Health Economist: Financing Pediatric Psychology: On "Buddy, Can You Spare a Dime?"
Center for Health Economic and Policy Studies, Medical University of South Carolina
All correspondence concerning this article should be addressed to W. David Bradford, PhD, Director, Center for Health Economic and Policy Studies, Medical University of South Carolina, 19 Hagood Avenue, 4th floor, Charleston, South Carolina 29425.
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Rae (this issue) succinctly lays out a number of challenges facing the pediatric psychology profession today. Not surprisingly, while concerns about professional acceptance and the ability to develop standards of care and measures for efficacy are present, the principle source of consternation is financial. Like many of their colleagues, pediatric psychologists find themselves trapped in a reimbursement model that worked two decades ago but is increasingly a poor fit today. I would like to highlight a few of the issues raised by Rae and provide an economist's perspective on them. In particular, I will focus on the issues of: the setting in which care takes place; the types of financial relationships that may be possible;
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