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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0310427
Code Inist : 002B18H04. Création : 15/07/1997.