Managed care and academic psychiatry.

Managed care, with its emphasis on cost effectiveness, case review, and treatment guidelines, has become a major influence on the delivery of mental health care and on the field of psychiatry. Given the importance of academic psychiatry in producing future psychiatrists and shaping their attitudes toward managed care, two separate surveys of chairs of 125 medical school departments of psychiatry were conducted. The surveys, completed in 1989-90 and 1991-92, indicate a trend toward accepting the usefulness and importance of managed care.