Datapoints: Treatment of Attention-Deficit Hyperactivity Disorder by Different Physician Specialties
Datapoints: Treatment of Attention-Deficit Hyperactivity Disorder by Different Physician Specialties
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数据点：不同专业医师治疗注意力缺陷多动障碍
DOI：
10.1176/ps.49.2.171
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发表时间：
1998
影响因子：
3.8
通讯作者：
Steven C. Marcus
中科院分区：
文献类型：
--
作者：
D. Zarin;T. Tanielian;A. Suarez;Steven C. Marcus
近年来，注意力缺陷多动障碍(ADHD)的诊断和治疗引起了越来越多的国家的关注。大部分注意力集中在社区研究中发现的实践模式的巨大差异上，假设大多数患有ADHD的儿童由初级保健提供者治疗(1)。目前尚不清楚接受ADHD治疗的儿童中有多大比例是由精神科医生照顾的，也不知道这些社区研究提出的护理质量问题在多大程度上适用于精神病学家提供的护理。本专栏调查了14岁或以下的ADHD患者在包括精神病学在内的医生专科中的就诊情况。它使用了1995年全国非卧床医疗保健调查(NAMCS)中的加权数据。与ADHD相关的办公室就诊由以下标准之一识别：ADHD的国际疾病分类(ICD)代码列在其中一个诊断栏中；在就诊期间至少开、供应、注射或继续服用一种精神刺激剂；或有标记的复选框指示ADHD诊断。
In recent years, increased national attention has been drawn to the diagnosis and treatment of attention-deficit hyperactivity disorder (ADHD). Much of the attention has focused on the large variation in practice patterns found in community studies, with the assumption that most children with ADHD are treated by primary care providers (1). It is not known what proportion of children treated for ADHD are cared for by psychiatrists or to what extent quality-of-care concerns raised by these community studies apply to the care provided by psychiatrists.This column examines office visits for ADHD by patients age 14 or younger across physician specialties, including psychiatry. It uses weighted data from the 1995 National Ambulatory Medical Care Survey (NAMCS). ADHD-related office visits were identified by one of the following criteria: the International Classification of Diseases (ICD) code for ADHD listed in one of the diagnosis fields; at least one psychostimulant prescribed, supplied, administered, or continued during the visit; or a marked checkbox indicating an ADHD diagnosis.