Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

141 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How new research has influenced on out-patient

Answered by
Dr. Jonas Sundarakumar


Practicing since :2003

Answered : 2190 Questions

Posted on Thu, 14 Feb 2013 in Mental Health
Question: In your opinion, how have new research or managed care influenced positively and negatively outpatient treatment?
Answered by Dr. Jonas Sundarakumar 11 hours later

Over the years, psychiatric treatment has undergoing significant changes progressively. Of late a lot of new concepts have been introduced in treatment principles and concepts. Research has had a significant influence on both out-patient and in-patient treatments in the field of Psychiatry. Similarly, concepts such as ‘managed care’ have also brought changes to the way out-patient treatment is approached. Let us look at these individually...

In my opinion, research has positively influenced out-patient psychiatric treatment to a great extent. It is research which has given valuable insights into the understanding of psychiatric illnesses and helped find appropriate treatment strategies. This understanding into the cause and treatment of mental illness has changed the whole scenario of psychiatric treatment from a setting where persons with psychiatric problems were kept locked in asylums to a setting where most people are managed on an out-patient basis itself.

Research has also helped in the formulation of clear diagnostic and treatment guidelines, so that even general practitioners are able to diagnose and treat minor psychiatric problems on an out-patient basis itself. It has been found that, of late, the proportion of patients requiring in-patient treatment or long-term hospitalization has reduced drastically, thanks to the good out-patient treatment options and facilities currently available. This is all predominantly due to the influence and impact of research.

So, I feel that research has had a predominantly positive influence on psychiatric treatment, especially in the out-patient setting.

Coming to the other concept of “managed care”, this is a concept which has been recently introduced in many western countries, mainly pertaining to out-patient treatments. According to this concept, the main intention is to reduce the cost of for providing healthcare and improving quality. There are various techniques which encourage medical professionals to cut down costs, but at the same time, ensure that effective and quality care is being provided. Now, the influence of this concept of managed care in out-patient treatment has been variable. There are some clear positive influences, but at the same time there are a few negative aspects also.

One of the main positive influences is that it has enabled more financially effective ways of providing out-patient treatment. By cutting down unnecessary costs, the money saved can be channelized to cover more people, improve quality and expand the health system. Some of the impacts which this has had on out-patient practices are:
-     Avoiding unnecessary investigations.
-     Following strict protocols and avoiding unnecessary referrals
-     Bringing in more emphasis on preventive care
-     Quality checks to ensure good standards of practice.

However, some are critical about this concept and argue that it has influenced healthcare in a negative way. The arguments are:
-     Managed care plans were controlling costs by denying medically necessary services to patients
-     When the prime focus of a healthcare provider is on cutting costs, then quality gets compromised.

So, we see that such recent concepts have brought about both positive and negative influences on out-patient psychiatric care.

Dr. Jonas Sundarakumar
Consultant Psychiatrist.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Medical Topics

Recent questions on  Medical error

doctor1 MD

My mom had a scheduled colon resection 3 weeks ago, her heart stopped while she slept the second night after. Her heart was started again but she was brain dead and died the next day. There were many mistakes myself and my sisters witnessed over the first 24-30 hrs after sugery and before her heart initially stopped. 1. Was blood in her urine 2. Her iv blew, & it was probably an hr before the nurse redid her iv. 3 she was not made to walk until nearly 24 hrs after surgery, although the dr said he likes his patients to within 6-8 hrs
How do we know if medical error or negligence led to her death?

doctor1 MD

What is your opinion with Dr XXXXXXX Bresser XXXXXXX XXXXXXX in the cure of blindness , referring 90 % Blindness due to the medical error with Glaucoma (use of Predniform Forte instead of Maxitrol , which caused a Eyepressure increase from 18 into...

doctor1 MD

i have been diagnosed with Bacterial Vaginosis twice in different clinics and even after the medication-Metronidazole it doesnt seem to clear,or sometimes it goes for afew days and the discharge is back,and it gets worse(amount and smell) when my periods are about to come like now.Could it be a misdiagnosis?

doctor1 MD

I was diagnosed recently with staphylococcus aureus after four years of misdiagnosis. I was told I had asthma and brochitis and pneumonia and everything else in between. I had surgery four years ago and when I came out of the hospital I was sick and have not received and medication that can cure it. I was given some medicine for a fungal and it helped but then the symptoms returned. I was recently given sulfamethoxazole-tmp and it didnt work. I just wanted to know what medicine is the medicine that I should be taking to help me get over this? any info would be greatly appreciated.

doctor1 MD

Dear Doctor, I'm a new hires registered nurse in a family practice facility. I'm familiar with the danger of the medication error and the one of the fighters against it. But yesterday I had 2 month male patient with 5 IM vaccinations and 1 oral...

doctor1 MD

Hi there, I am a senior doing a term paper on medical errors and miscommunication that occurs throughout the medical field. I am using my grandma as an example in the paper because a nurse didn't draw her blood for two lab tests like she was ordered to. Instead, she just took one and my grandma became very ill when she was released home. The lab test was for blood thickness. Due to her history of strokes, she was on blood thinners which is why the labs were ordered. My mom had called the hospital and a nurse had told her that my grandma's labs weren't drawn and she was taken to the ER. Well it turns out that her blood viscosity level was at 11.1. My mom works in a hospital and she knew it was bad, but i was wondering what the normal range for blood thickness was. I could use some help.