Peer review and PSRO in American psychiatry

Area of Science:

• Medical Services
• Psychiatry
• Healthcare Policy

Background:

• The last five years have seen significant pressures and advancements in medical services peer review.
• Organized psychiatry has demonstrated vigorous and responsive activity at national and local levels.

Purpose of the Study:

• To trace the development of various forms of peer review in medical services.
• To review the mechanisms and requirements of mandated, professional, and third-party payer peer review programs.
• To examine specific programs and projects within the American Psychiatric Association and its affiliates.

Main Methods:

• Historical review of peer review development.
• Analysis of mandated, professional, and third-party payer models.
• Case study of American Psychiatric Association initiatives.

Main Results:

• Significant evolution in peer review structures and requirements.
• Active adaptation and development by organized psychiatry.
• Detailed examination of specific programs within a major psychiatric association.

Conclusions:

• Organized psychiatry has effectively responded to pressures by developing diverse peer review mechanisms.
• The study highlights the dynamic nature of medical peer review and its integration into psychiatric practice.
• The American Psychiatric Association's role in shaping these developments is underscored.