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首页> 外文期刊>Psychosomatics >Are psychiatrists' characteristics related to how they care for depression in the medically ill? Results from a national case-vignette survey.
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Are psychiatrists' characteristics related to how they care for depression in the medically ill? Results from a national case-vignette survey.

机译：精神科医生的特征是否与他们如何照顾患有医学疾病的抑郁症有关？全国案例渐晕调查的结果。

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The authors' goal was to examine the relationship between psychiatrists' characteristics and their decisions regarding depression care. A national sampling of 278 psychiatrists answered diagnosis and treatment questions for one of four case vignettes with depression and various degrees of medical comorbidity. They also responded to a questionnaire assessing practice and demographic characteristics. Tendency to diagnose major depression was significantly associated with being board certified, being in practice for less time, having a greater percentage of patients with managed care, and having a greater percentage of patients on psychotropic medications. Tendency to recommend an antidepressant was significantly associated with the psychiatrist being male, being less satisfied with practice, and having a greater percentage of patients on psychotropic medications. These findings remained significant even after controlling for case characteristics. Diagnostic and prescribing tendencies of psychiatrists appear to be associated with specific physician characteristics and not simply case characteristics. These findings have implications for further studies of predictors of quality of care.
机译：作者的目的是研究精神科医生的特征与其对抑郁症治疗的决定之间的关系。全国共有278名精神科医生进行抽样，回答了患有抑郁症和不同程度的医学合并症的四例渐晕病例之一的诊断和治疗问题。他们还回答了一份评估实践和人口统计学特征的调查表。诊断重度抑郁的倾向与获得董事会认证，实践中花费的时间更少，接受管理的患者比例较高以及接受精神科药物的患者比例较高密切相关。推荐抗抑郁药的倾向与精神科医生是男性，对实践的满意度较低以及使用精神药物的患者比例较高有很大关系。即使在控制了病例特征之后，这些发现仍然是重要的。精神科医生的诊断和开药趋势似乎与特定的医生特征有关，而不仅仅是与病例特征有关。这些发现对进一步研究护理质量的预测指标具有重要意义。

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