OPEN MINDS The Behavioral Health & Social Service Industry Analyst Industry News Five major issues must be faced by marketers hospital services, according to a report that appeared in the April 16, 1990 issue of The Keckley Report on Health Care Market Research. These marketing issues are outlined below: Reimbursement uncertainty. The exemption a psychiatry from the DRG system led to the construction of over 300 freestanding psychiatric hospitals and an increase in psychiatric beds in general hospitals: As a result, margins have shrunk. In the . . .