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(January 2013). "Why patients visit their doctors: assessing the most prevalent conditions in a defined American population". Mayo Clin. Proc. 88 (1): 56–67. doi:10.1016/j.mayocp.2012.08.020. PMC 3564521. PMID 23274019. Advocacy Coalitions Large Business Parent-youth agreement on the youth’s functional impairment may have important implications for mental health service utilization, assessment, therapy goal development, and treatment engagement for adolescents. The present study examines parent-youth agreement on their perceptions of youth functional impairment in a predominantly racial/ethnic minority sample of adolescents utilizing outpatient mental health services. Parent and youth functional impairment ratings were compared, and agreement was estimated in multiple ways. On average, parents indicated higher levels of youth functional impairment compared to youth in their overall scores, and when differences existed between parents and youth at the functioning domain and item level. Although there was similarity in the proportion of parents and youth who reported total impairment above the clinical cut-off, actual agreement between parent-youth pairs was only slight. There appeared to be substantial variation in agreement levels when identifying problems in functional impairment at the domain and item levels, and some areas of strong consensus were identified. These findings highlight the need to consider parent-youth agreement in perceptions of functional impairment and the complexities that may underlie this agreement. Full article Datablog Playlists The all-inclusive cost model also presents clear financial risks for health providers, since they get paid the same even for complex medical scenarios. But variation does exist within the value-based-care movement. Another payment structure is called “gainsharing,” because doctors and hospitals have financial incentives to reduce costs, but they don’t carry risk in the opposite scenario. 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