Abstract
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?
Original language | English (US) |
---|---|
Pages (from-to) | 51-59 |
Number of pages | 9 |
Journal | Psychiatry (New York) |
Volume | 60 |
Issue number | 1 |
DOIs | |
State | Published - Mar 1997 |
ASJC Scopus subject areas
- Psychiatry and Mental health