Pressure from patients and referrers to write script is what I have seen. I have never heard of any pressure to medicate from insurers. I refer to psychiatrists fairly often and this is because the patient and I have discussed this and we both feel that a medication might be useful. I imagine the patient would be frustrated if the psychiatrist said no to medication at that point, but I have never run into that. Probably because I don't want to waste the patient and the psychiatrist's time by an unnecessary referral.
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Relationship between reimbursement and treatment/prescription?
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