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心理健康系统的职业转型。

The occupational transformation of the mental health system.

作者信息

Scheffler Richard M, Kirby Paul B

机构信息

Nicholas C. Petris Center on Healthcare Markets and Consumer Welfare, School of Public Health, University of California, Berkeley, USA.

出版信息

Health Aff (Millwood). 2003 Sep-Oct;22(5):177-88. doi: 10.1377/hlthaff.22.5.177.

Abstract

The mental health workforce has changed dramatically since the mid-1970s. Nonphysician providers, particularly psychologists and clinical social workers, have become a much larger share of the workforce. While the supply of psychiatrists has been relatively stable, there has been a dramatic increase in the supply of psychologists and social workers. Changes in clinical practice, combined with the continued expansion of managed care into mental health, will largely determine the future composition and supply of the mental health workforce.

摘要

自20世纪70年代中期以来,心理健康服务人员队伍发生了巨大变化。非医生提供者,尤其是心理学家和临床社会工作者,在劳动力中所占比例大幅增加。虽然精神科医生的供应相对稳定,但心理学家和社会工作者的供应却急剧增加。临床实践的变化,再加上管理式医疗在心理健康领域的持续扩张,将在很大程度上决定未来心理健康服务人员队伍的构成和供应情况。

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