Albee G W
Hosp Community Psychiatry. 1979 Nov;30(11):783-6. doi: 10.1176/ps.30.11.783.
The author compares the findings he made about the shortage of psychiatrists 20 years ago for the Joint Commission on Mental Illness and Health with the recent findings of the President's Commission on Mental Health. He concludes that not much has changed except for an increased awareness today of the need for services for minorities, and heightened concern over the low numbers of minorities in professional positions and training programs. The shortage of psychiatrists to work with poor people, children and adolescents, the aged, the organically impaired, and the physically handicapped continues, and it is unlikely to be overcome because of the drop in the number of American medical school graduates entering psychiatric training and the federal law restricting the number of foreign medical graduates entering the United States. He believes primary prevention is the best way to ease the widening gap between the need for services and the available psychiatric resources.
作者将他20年前为精神疾病与健康联合委员会所做的关于精神科医生短缺的调查结果与总统心理健康委员会最近的调查结果进行了比较。他得出结论，除了如今人们对少数族裔服务需求的认识有所提高，以及对专业岗位和培训项目中少数族裔人数较少的关注度有所增加之外，情况并没有太大变化。为贫困人口、儿童和青少年、老年人、器质性受损者以及身体残障者提供服务的精神科医生短缺问题依然存在，而且由于进入精神科培训的美国医学院毕业生数量下降以及联邦法律限制外国医学毕业生进入美国，这一短缺问题不太可能得到解决。他认为初级预防是缓解服务需求与现有精神科资源之间不断扩大的差距的最佳途径。
