JAMA. 1990 Nov 21;264(19):2542-8.
The American Medical Association Council on Long Range Planning and Development has been publishing a series of reports that assess trends in the environment of medicine and their impact on physicians and health care provision. The Council believes each specialty in medicine will respond differently to changes in the health care arena. This report, developed in cooperation with the American Psychiatric Association, provides an overview and environmental analysis of the specialty of psychiatry. Socioeconomic data pertinent to psychiatry are reviewed first, followed by a review of scientific and clinical developments in the specialty. Next, the changing provision patterns of psychiatric care, the emerging patient populations served by psychiatrists, and recent developments in graduate medical education in psychiatry are reviewed. The Council also addresses changes in the financing of psychiatric care. In conclusion, the Council suggests implications of these and other environmental trends for psychiatry.
美国医学协会长期规划与发展委员会一直在发布一系列报告,评估医学环境的趋势及其对医生和医疗服务提供的影响。该委员会认为,医学中的每个专科对医疗保健领域的变化将有不同的反应。本报告是与美国精神病学协会合作编写的,对精神病学专科进行了概述和环境分析。首先回顾了与精神病学相关的社会经济数据,接着回顾了该专科的科学和临床进展。接下来,审查了精神科护理提供模式的变化、精神科医生服务的新兴患者群体以及精神科毕业后医学教育的最新进展。该委员会还讨论了精神科护理融资方面的变化。最后,该委员会提出了这些及其他环境趋势对精神病学的影响。