OBJECTIVE: To review the current status of psychiatry in selected countries of Central and Eastern Europe: Bulgaria, Croatia, Czech Republic, Hungary, Poland, Romania, Russia, Slovakia, and Slovenia. METHOD: A group of psychiatrists from the region evaluated the status of psychiatry at the end of 2004 based on data from their countries and information available on WHO homepages. RESULTS: There is a shift from traditional in-patient facilities towards out-patient and community services as evidenced by a decreasing number of hospital beds. Economic pressures affect the financing of psychiatric services, and reimbursement for novel psychotropics. Political changes were followed by updated legislation. Psychiatric training, pre-, postgraduate and continuous medical education, are gradually being transformed. Scientific output as measured by publications in peer-reviewed journals has been significantly lower than in the West. CONCLUSION: The major changes in the period of transition documented in the review pose new challenges for psychiatry.
OBJECTIVE: To review the current status of psychiatry in selected countries of Central and Eastern Europe: Bulgaria, Croatia, Czech Republic, Hungary, Poland, Romania, Russia, Slovakia, and Slovenia. METHOD: A group of psychiatrists from the region evaluated the status of psychiatry at the end of 2004 based on data from their countries and information available on WHO homepages. RESULTS: There is a shift from traditional in-patient facilities towards out-patient and community services as evidenced by a decreasing number of hospital beds. Economic pressures affect the financing of psychiatric services, and reimbursement for novel psychotropics. Political changes were followed by updated legislation. Psychiatric training, pre-, postgraduate and continuous medical education, are gradually being transformed. Scientific output as measured by publications in peer-reviewed journals has been significantly lower than in the West. CONCLUSION: The major changes in the period of transition documented in the review pose new challenges for psychiatry.
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Authors: Adrian P Mundt; Enzo Rozas Serri; Mathias Siebenförcher; Valbona Alikaj; Fuad Ismayilov; Yury E Razvodovsky; Mevludin Hasanovic; Petar Marinov; Tanja Frančišković; Pavla Cermakova; Jaanus Harro; Lela Sulaberidze; Miklós Péter Kalapos; Marat Assimov; Saltanat Nurmagambetova; Nazmie F Ibishi; Elena Molchanova; Māris Taube; Jana Chihai; Jovo Dedovic; Paweł Gosek; Nicoleta Tataru; Andrei Golenkov; Dusica Lecic-Tosevski; Dunja Randjelovic; Lubomira Izakova; Vesna Švab; Mutabara Vohidova; Nina Kerimi; Oleksii Sukhovii; Stefan Priebe Journal: Lancet Reg Health Eur Date: 2021-06-05