关键词: locum tenens psychiatry salaries shortage telepsychiatry

Mesh : Humans Psychiatry / trends Telemedicine United States Workforce

来  源:   DOI:10.1089/tmj.2014.0159

Abstract:
BACKGROUND: There is a national shortage of psychiatrists, and according to nationally available data, it is projected to get worse. Locum tenens psychiatry and telepsychiatry are two ways to fill the shortages of psychiatric providers that exist in many areas in the United States. Employment and salary data in these areas can be used to illuminate current trends and anticipate future solutions to the problem of increasing demand for, and decreasing supply of, psychiatrists in the United States.
METHODS: A search was conducted of the literature and relevant Web sites, including PubMed, Google Scholar, and www.google.com , as well as information obtained from locum tenens and telepsychiatry organizations.
RESULTS: There is a dearth of data on the use of locum tenens in the field of psychiatry, with little available prior to 2000 and few published studies since then. The majority of the data available are survey data from commercial entities. These data show trends toward increasing demand for psychiatry along with increasing salaries and indicate the utilization of telepsychiatry and locum tenens telepsychiatry is increasing. The published academic data that are available show that although locum tenens psychiatry is slightly inferior to routine psychiatric care, telepsychiatry is generally equivalent to face-to-face care.
CONCLUSIONS: One can anticipate that as the national shortage of psychiatrists is expected to accelerate, use of both locum tenens and telepsychiatry may also continue to increase. Telepsychiatry offers several possible advantages, including lower cost, longer-term services, quality of care, and models that can extend psychiatric services. If current trends continue, systems that demand face-to-face psychiatry may find themselves paying higher fees for locum tenens psychiatrists, whereas others may employ psychiatrists more efficiently with telepsychiatry.
摘要:
背景:全国精神科医生短缺,根据全国现有数据,预计情况会变得更糟。Locumtenens精神病学和心灵感应疗法是填补美国许多地区存在的精神科提供者短缺的两种方法。这些领域的就业和工资数据可用于阐明当前趋势,并预测未来的解决方案,减少供应,美国的精神科医生。
方法:对文献和相关网站进行了检索,包括PubMed,谷歌学者,www。google.com,以及从locumtenens和心灵感应组织获得的信息。
结果:关于在精神病学领域中使用罗非鱼的数据缺乏,在2000年之前几乎没有可用,此后很少发表研究。大多数可用数据是来自商业实体的调查数据。这些数据显示,随着工资的增加,对精神病学的需求也有增加的趋势,并表明心灵灵和天线灵心灵灵的利用正在增加。现有的已发表的学术数据表明,尽管局部精神病治疗略逊于常规精神病治疗,心灵感应通常相当于面对面的护理。
结论:可以预见,随着全国精神科医生短缺的加速,使用罗非鱼和心灵感应也可能继续增加。Telepsychiatry提供了几个可能的优势,包括更低的成本,长期服务,护理质量,以及可以扩展精神科服务的模型。如果目前的趋势继续下去,需要面对面精神病学的系统可能会发现自己为当地的精神科医生支付更高的费用,而其他人可能会更有效地雇用精神科医生进行心灵感应。
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