TY - JOUR
T1 - Coping with the crisis in psychiatric training
AU - Schreter, Robert K.
PY - 1997/3
Y1 - 1997/3
N2 - 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 fot psychiatrists in the emerging health care delivery system?
AB - 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 fot psychiatrists in the emerging health care delivery system?
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U2 - 10.1521/00332747.1997.11024786
DO - 10.1521/00332747.1997.11024786
M3 - Article
C2 - 9130315
AN - SCOPUS:0030976845
SN - 0033-2747
VL - 60
SP - 51
EP - 59
JO - Psychiatry (New York)
JF - Psychiatry (New York)
IS - 1
ER -