Schneider-Braus K
Hosp Community Psychiatry. 1987 Aug;38(8):876-9. doi: 10.1176/ps.38.8.876.
Based on two years' work in an inner-city psychiatric clinic serving 50,000 members of a health maintenance organization (HMO), the author presents ten guidelines for the many clinicians now attempting to maintain sound psychiatric practice within the limitations of an HMO. The guidelines suggest that HMO psychiatrists perform thorough intake evaluations that facilitate triage to specific treatments, negotiate treatment contracts with patients, focus on patient requests, enter a problem-solving partnership with patients, facilitate termination, use least costly treatments, use support groups, transform economic limitations into therapeutic tools, appeal individual cases requiring extensive treatment, and undertake research.
基于在一家为健康维护组织（HMO）的50000名成员服务的市中心精神病诊所两年的工作经验，作者为如今许多试图在HMO的限制范围内维持良好精神病治疗实践的临床医生提出了十条指导方针。这些指导方针建议，HMO的精神科医生要进行全面的入院评估，以促进对特定治疗的分类，与患者协商治疗合同，关注患者的请求，与患者建立解决问题的伙伴关系，促进治疗的结束，采用成本最低的治疗方法，利用支持小组，将经济限制转化为治疗工具，对需要广泛治疗的个别病例提出上诉，并进行研究。
