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  1. Coping with the crisis in psychiatric training.

    Article - En anglais

    NO article on the future of psychiatry seems complete without mention of a sea change or a paradigm shift.

    The demands for cost containment and accountability have fueled a shift away from retrospective fee-for-service, solo practice to prospectively reimbursed care through giant health systems (Schreter 1993).

    These systems substitute less expensive, less well-trained and often less-experienced clinicians for psychiatrists whenever possible.

    Managed care gatekeeping utilizes psychiatrists mainly for medication management.

    Psychotherapy, a signature product of our profession, is being demedicalized.

    What will be the roles for psychiatrists in the emerging health care delivery system ?

    Mots-clés Pascal : Etude critique, Formation professionnelle, Psychiatrie, Rôle professionnel, Psychiatre, Soin intégré, Homme

    Mots-clés Pascal anglais : Critical study, Occupational training, Psychiatry, Occupational role, Psychiatrist, Managed care, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0310427

    Code Inist : 002B18H04. Création : 15/07/1997.