A national study of psychiatrists' professional activities.
A national study of psychiatrists' professional activities.
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对精神科医生专业活动的全国性研究。
DOI：
10.1176/ajp.149.11.1499
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Weissman,S
中科院分区：
文献类型：
--
作者：
Dorwart,RA;Chartock,LR;Dial,T;Fenton,W;Knesper,D;Koran,LM;Leaf,PJ;Pincus,H;Smith,R;Weissman,S
目的与方法1988-1989年对美国精神科医生的职业活动进行邮件调查。报告了19431名活跃受访者的数据。结果19%的精神科医生是女性，比1982年报告的17%有所增加。受访者的年龄中位数为50岁。近三分之一的受访者表示对以下每个细分领域感兴趣：青少年精神病学、药物滥用、老年病学和咨询联络精神病学。超过五分之一的人报告了儿童/青少年精神病学方面的正式奖学金培训。精神科医生平均每周工作48小时，其中三分之二是在2.3种不同的环境中直接照顾病人。报告以私人诊所为主要工作场所的精神病医生比例，由1982年的53%，明显下降至1988年的45%。在私人精神病院工作的人从1982年的4%增加到1988年的11%。典型的病例量是60多名患者，每周大约有一半的患者就诊。对于接受治疗的住院患者，两种最常见的诊断是情感障碍和精神分裂症。在一个典型的星期里，精神病医生用个人心理疗法治疗大约一半的门诊病人；其中五分之三还接受了药物治疗。每周工作35小时或以上的精神科医生男性的平均净收入为99,850美元，女性为73,174美元。结论
Objective and methodA mail survey was conducted in 1988-1989 to study the professional activities of US psychiatrists. Data from the 19,431 active respondents are reported.ResultsNineteen percent of the psychiatrists were women, an increase from the 17% reported in 1982. The median age of the respondents was 50 years. Nearly one-third of the respondents expressed interest in each of the following areas of subspecialization: adolescent psychiatry, substance abuse, geriatrics, and consultation-liaison psychiatry. More than one-fifth reported formal fellowship training in child/adolescent psychiatry. The psychiatrists worked an average of 48 hours per week--two-thirds in direct patient care--in an average of 2.3 different settings. The proportion of psychiatrists reporting private practice as their primary work setting showed a marked decline from 53% in 1982 to 45% in 1988. There was an increase from 4% in 1982 to 11% in 1988 in those whose primary work setting was a private psychiatric hospital. The typical caseload was over 60 patients, with roughly half that number seen each week. For inpatients treated, the two most common diagnoses were affective disorders and schizophrenic disorders. In a typical week psychiatrists treated about one-half of their outpatients with individual psychotherapy; three-fifths of these were also treated with medications. The average net income for psychiatrists working 35 hours or more per week was $99,850 for men and $73,174 for women.Conclusions