Richman A
Health Rep. 1991;3(3):221-7.
From 1972-73 to 1988-89, the number of Canadian psychiatrists doubled. Most psychiatrists are in fee-for-service practice. The median earnings of psychiatrists are close to those of internists. There is lack of psychiatric services available, but not a lack of psychiatrists. The lack of services is due largely to the allocation of psychiatric resources. The maldistribution of psychiatrists is increasing as more settle in urban centres. The U.S. General Medical National Advisory Council recommends that psychiatry spend two thirds of clinical time treating severe illnesses such as psychoses. Before any changes are made to the structure of Canadian psychiatry, more data are needed on patterns of fee-for-service practice, the characteristics of patients, the course and outcome of private psychiatric care, and alternative patterns of practice in which psychiatrists are consultants to family physicians and non-medical therapists.
从1972 - 1973年到1988 - 1989年，加拿大精神科医生的数量翻了一番。大多数精神科医生从事按服务收费的业务。精神科医生的收入中位数与内科医生相近。存在精神科服务短缺的情况，但并非精神科医生短缺。服务短缺主要是由于精神科资源的分配问题。随着越来越多的精神科医生定居在城市中心，精神科医生分布不均的情况正在加剧。美国普通医学全国咨询委员会建议，精神病学应将三分之二的临床时间用于治疗诸如精神病等严重疾病。在对加拿大精神病学结构进行任何改变之前，需要更多关于按服务收费业务模式、患者特征、私人精神科护理的过程和结果以及精神科医生作为家庭医生和非医学治疗师顾问的替代业务模式的数据。
