Pharmacotherapy in outpatient psychiatric practice.
Pharmacotherapy in outpatient psychiatric practice.
复制标题
门诊精神病学实践中的药物治疗。
DOI：
10.1176/ajp.151.4.580
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
M. Sabshin
中科院分区：
文献类型：
--
作者：
M. Olfson;H. A. Pincus;M. Sabshin
客观化
本文考察了一些影响精神科医生为其门诊患者提供药物治疗的程度的因素。
方法
1988年至1989年APA职业活动调查的数据被用来定义精神病学家的特征，他们给治疗中的高、中、低比例的门诊病人开药。门诊评估、评估或会诊被排除在本分析之外。精神科实践的特点和药物治疗率之间的相关性进行了检验。
结果
三分之一的精神科医生给不到46.7%的门诊患者开药，三分之一的医生给46.7%到84.6%的患者开药，三分之一的医生给超过84.6%的门诊患者开药。最后一组中的精神科医生中，男性、非白人、没有接受过精神分析或儿童精神病学培训的人、工作量较大的人以及在公共部门工作的人的年轻精神科医生的数量相应较多。这些精神病学家还治疗了数量不成比例的精神分裂症和相关精神障碍患者。在多变量模型中，临床、实践和教育变量，而不是人口统计学变量，被发现与所提供的药物治疗的程度相关。
结论
精神病学家在开出精神药物处方的程度上差异很大。他们工作量的诊断构成、他们的工作背景和他们的教育背景，而不是他们的人口统计特征，似乎影响了他们参与的程度。
OBJECTIVE
This article examines some of the factors that influence the extent to which psychiatrists provide pharmacotherapy to their outpatients.
METHOD
Data from the 1988-1989 APA Professional Activities Survey are used to define the characteristics of psychiatrists who prescribe medications to a high, medium, and low proportion of their outpatients in treatment. Outpatient assessments, evaluations, or consultations were excluded from this analysis. Correlations between psychiatric practice characteristics and rates of pharmacotherapy are examined.
RESULTS
One-third of psychiatrists prescribed medications to less than 46.7% of their outpatients, one-third prescribed medications to between 46.7% and 84.6%, and one-third prescribed medications to over 84.6% of their outpatients. The psychiatrists in the last group included a proportionately higher number of young psychiatrists, men, nonwhites, those without psychoanalytic or child psychiatry training, those with larger caseloads, and those who worked in the public sector. These psychiatrists also treated a disproportionately large number of patients with schizophrenia and related psychotic disorders. In a multivariate model, clinical, practice, and educational variables, but not demographic variables, were found to correlate with the extent of pharmacotherapy provided.
CONCLUSIONS
Psychiatrists vary widely in the extent to which they are involved in prescribing psychotropic medications. The diagnostic composition of their caseload, their work setting, and their educational background, but not their demographic characteristics, appear to influence the extent of their involvement.