ECONOMICS AND PSYCHIATRIC-EDUCATION - THE IRRESISTIBLE FORCE MEETS THE MOVEABLE OBJECT

被引:15
作者
BORUS, JF [1 ]
机构
[1] HARVARD UNIV,SCH MED,DEPT PSYCHIAT,BOSTON,MA 02115
关键词
D O I
10.3109/10673229409017109
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Recent changes in health care delivery and financing threaten the traditional funding base for Psychiatric education, These changes are disrupting the often-tenuous ''critical balances'' in Psychiatry residency, weighting them toward greater provision of services and less training, education, autonomy of practice, and time for personal needs. Three strategies for adapting creatively to the new fiscal and organizational realities in health care are described: decreasing the number of residents and residency-training programs, rethinking the content of residency so that it provides training for the practice realities of the twenty-first century, and marketing the quality and cost-effectiveness of academic psychiatry systems better in a managed care environment.
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页码:15 / 21
页数:7
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