Commentary Academic Article uri icon


  • The new medical marketplace in Western countries is transforming the practice of psychiatry as well as medicine. While social forces catalyzed reform in the 1970s and 80s, it is economic forces that have brought changes since the 1990s. Psychiatry today faces a serious challenge to its professional identity due to external forces that can be reduced to three major trends: 1) inadequate and decreasing resources for repayment, coupled with 2) a new mandate to provide more services to a broader sector of society, within the context of 3) a revolution in the delivery of those services through a model based not on the traditional doctor-patient relationship but on" capitation formulas" and" health care providers" competing for patients and money (1).The new marketplace in psychiatry has created new fashions in the delivery of services. Some researchers believe that along with shifting the …

publication date

  • January 1, 2004