Pardes H, Pincus H A
Am J Psychiatry. 1983 Sep;140(9):1117-26. doi: 10.1176/ajp.140.9.1117.
Economic constraints, effects of retrenchments in federal health policy, and increased competition for resources are challenging all sectors of academic medicine. Departments of psychiatry are at particular risk during this era for reasons including the lack of a sound research and research training base in many psychiatry departments; the small number of students entering the field and implications therein for the availability of residency slots in psychiatry; and patterns of allocating resources within academic medical centers which, combined with biases in reimbursement policy toward cognitively based specialties, threaten the economic strength of psychiatric departments. A conceptual model based on marketing principles is proposed to aid in identifying and capitalizing on the unique strengths of the field.
经济限制、联邦卫生政策紧缩的影响以及资源竞争加剧，正对学术医学的各个领域构成挑战。在这个时代，精神病学系面临着特殊风险，原因包括许多精神病学系缺乏健全的研究和研究培训基础；进入该领域的学生数量少，以及由此对精神病学住院医师职位可获得性的影响；学术医疗中心内的资源分配模式，再加上报销政策对基于认知的专业的偏见，威胁着精神病学系的经济实力。本文提出了一个基于营销原则的概念模型，以帮助识别并利用该领域的独特优势。
