PATIENT GENDER AND PSYCHOTROPIC PRESCRIBING

拟议的项目集中在医生和患者之间的差异 相互作用可能会影响处方中的差异 门诊男性和女性患者的精神药物治疗 设置。为了更好地理解这个问题，我们将使用 现有的550盘医患互动录音带 11种不同的门诊护理环境。我们的总体目标是测试一个 精神药物处方的互动模式，我们认为可能 帮助更好地解释精神药物处方中现有的可变性 对男性和女性患者的药物治疗。 首先，我们将转录所有的录音带。接下来，我们将开发 并检验了两种编码工具的信度和效度 患者表达问卷和治疗讨论问卷。我们 然后使用这些工具对转录的医生-患者进行编码 互动。最后，我们将使用这些信息来测试我们提出的 精神药物处方的互动模式。层级物流 将使用回归技术来测试该模型。

The proposed project is focused on how differences in the physician-patient interaction may be influencing differences in the prescribing of psychotropic medications to male and female patients in ambulatory care settings. To gain a better understanding of this problem, we will use an existing data set of 550 audio-tapes of physician-patient interactions from 11 different ambulatory care settings. Our overall goal is to test an interactional model of psychotropic drug prescribing that we believe may help better explain existing variability in the prescribing of psychotropic medications to male and female patients. First, we will transcribe all of the audio-tapes. Next, we will develop and test the reliability and validity of two coding instruments, the Patient Expression Inventory and the Treatment Discussion Inventory. We will then use these instruments to code the transcribed physician-patient interactions. Finally, we will use this information to test our proposed interactional model of psychotropic prescribing. Hierarchial logistic regression techniques will be used to test the model.