McKelvey R S
Division of Child Psychiatry, Baylor College of Medicine, Houston, TX 77007.
Am J Psychiatry. 1990 Sep;147(9):1220-4. doi: 10.1176/ajp.147.9.1220.
Rapid changes in health care financing and delivery systems will adversely affect child psychiatry training. Reductions in teaching hospitals' patient revenues and in federal support for graduate medical education have made the development of strong academic and research programs more difficult. Training programs must search for innovative ways to fund clinical training if they are to survive and grow. The authors review major sources for funding, such as state governments, future employers of trainees, endowments, faculty practice plans, and residents paying for training, and discuss opportunities for increasing their contributions.
医疗保健融资和提供系统的快速变化将对儿童精神病学培训产生不利影响。教学医院患者收入的减少以及联邦政府对研究生医学教育支持的减少，使得强大的学术和研究项目的发展更加困难。培训项目若要生存和发展，就必须寻找创新的方式来为临床培训提供资金。作者回顾了主要的资金来源，如州政府、学员未来的雇主、捐赠基金、教师执业计划以及支付培训费用的住院医师，并讨论了增加这些资金来源贡献的机会。
