Most contracted man-years in psychiatry
speshelsefydrift, Specialist health service, private specialists with operating agreements with health enterprisesHealth services , Health

Specialist health service, private specialists with operating agreements with health enterprises2000



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Most contracted man-years in psychiatry

In 2000, 395 man-years were contracted between county municipalities and clinical psychologists. The corresponding figure for psychiatrists in private practice was 170. All told, this accounts for more than half of the number of contracted man-years between county municipalities and specialists in private practice.

Clinical psychologists and psychiatrists have long made up large groups of private-practising health care personnel with operating agreements. The scope of these groups increased particularly in 1998 in connection with the introduction of a rule change for access to refunds from the National Insurance scheme. As a result of this change, which took effect 1 July 1998, private-practising health care personnel without an operating agreement with the county municipality could no longer get social security refunds for their patients. An earmarked subsidy scheme was set up at the same time for county municipalities that signed operating agreements with health personnel who until then had had private practices without an operating agreement. Through this scheme, operating agreements for specialists in psychiatry and clinical psychology were given priority.

 Share of contracted man-years in clinical psychology, psychiatry and other medical specialists. 1997-2000

As the figure shows, this program produced results in that the share of contracted man-years in psychiatry and clinical psychiatry rose from 34 to 50 per cent from 1997 to 1998. In the course of the last two years this share has remained almost constant.

Best coverage in urban areas

The geographic distribution of these man-years is somewhat uneven. Oslo is the highest with 13.8 contracted man-years per 100 000 inhabitants for psychiatrists and 24.7 man-years for psychologists. The numbers here are also high for Akershus and Hordaland. The fewest contracted man-years for psychiatrists and clinical psychologists per capita are found in Finnmark and Nord Trøndelag.

The other medical specialities also had the most contracted man-years per capita in Oslo, Akershus and Hordaland. Physician coverage in Østfold and Vestfold is also high.