中东欧部分国家的精神病学：现状概述。
Psychiatry in selected countries of Central and Eastern Europe: an overview of the current situation.
作者信息
Füredi J, Mohr P, Swingler D, Bitter I, Gheorghe M D, Hotujac L, Jarema M, Kocmur M, Koychev G I, Mosolov S N, Pecenak J, Rybakowski J, Svestka J, Sartorius N
机构信息
First Department of Psychiatry and Psychotherapy, National Institute of Psychiatry-Budapest, Nyéki út 10/12, 1021 Budapest, Bp. Pf. 50, Hungary.
出版信息
Acta Psychiatr Scand. 2006 Oct;114(4):223-31. doi: 10.1111/j.1600-0447.2006.00804.x.
OBJECTIVE
To review the current status of psychiatry in selected countries of Central and Eastern Europe: Bulgaria, Croatia, Czech Republic, Hungary, Poland, Romania, Russia, Slovakia, and Slovenia.
METHOD
A group of psychiatrists from the region evaluated the status of psychiatry at the end of 2004 based on data from their countries and information available on WHO homepages.
RESULTS
There is a shift from traditional in-patient facilities towards out-patient and community services as evidenced by a decreasing number of hospital beds. Economic pressures affect the financing of psychiatric services, and reimbursement for novel psychotropics. Political changes were followed by updated legislation. Psychiatric training, pre-, postgraduate and continuous medical education, are gradually being transformed. Scientific output as measured by publications in peer-reviewed journals has been significantly lower than in the West.
CONCLUSION
The major changes in the period of transition documented in the review pose new challenges for psychiatry.
目的
回顾中东欧部分国家（保加利亚、克罗地亚、捷克共和国、匈牙利、波兰、罗马尼亚、俄罗斯、斯洛伐克和斯洛文尼亚）的精神病学现状。
方法
该地区的一组精神科医生根据本国数据以及世界卫生组织主页上的可用信息，对2004年末的精神病学状况进行了评估。
结果
医院病床数量减少，表明正从传统的住院设施转向门诊和社区服务。经济压力影响精神科服务的资金投入以及新型精神药物的报销。政治变革之后是立法更新。精神病学培训，包括本科、研究生和继续医学教育，正在逐步转变。以同行评审期刊上发表的论文衡量的科研产出明显低于西方。
结论
综述中记录的转型期的主要变化给精神病学带来了新挑战。
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