Operating a successful pediatric psychology service in a hospital setting requires attention to three primary domains of professional practice: the clinical, operational, and financial (Kessler, 2008). Even an optimally provided service in the clinical and operational domains is unlikely to be sustainable if not also financially viable. One major challenge to financial viability is that overhead expenses charged to pediatric psychology services are typically similar to charges made to medical services, which receive considerably more money per unit of service and thus generate significantly more revenue. This disparity in income potential has contributed to placing considerable financial pressure and time demands on providers of hospital-based pediatric psychology services.
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