Blanco C, Carvalho C, Olfson M, Finnerty M, Pincus H A
Department of Psychiatry, Columbia University/New York State Psychiatric Institute, 10032, USA.
Am J Psychiatry. 1999 Mar;156(3):445-50. doi: 10.1176/ajp.156.3.445.
The practice patterns of international medical graduate (IMG) and U.S. medical graduate (USMG) psychiatrists were compared.
Using data from the 1996 National Survey of Psychiatric Practice, the authors compared IMGs and USMGs in terms of demographic characteristics, practice settings, patients' clinical characteristics, and sources of reimbursement.
The IMGs surveyed tended to be older than USMGs, included a higher proportion of women, and were more racially heterogeneous. They worked longer hours, worked more frequently in the public sector, and treated a higher proportion of patients with psychotic disorders. The IMGs also received a higher percentage of their income than USMGs from Medicaid and Medicare, whereas the reverse was true of self-payment. Most of these differences remained significant after psychiatrist's age, gender, race, board certification, and work setting were controlled for.
IMG and USMG psychiatrists have different practice patterns. Policies that substantially decrease the number of IMG psychiatrists may adversely affect the availability of psychiatrists to treat minorities and other underserved populations.
比较国际医学毕业生（IMG）和美国医学毕业生（USMG）精神科医生的执业模式。
利用1996年全国精神科执业调查的数据，作者在人口统计学特征、执业环境、患者临床特征和报销来源方面对IMG和USMG进行了比较。
接受调查的IMG往往比USMG年龄更大，女性比例更高，种族构成也更多样化。他们工作时间更长，在公共部门工作的频率更高，治疗的精神病患者比例也更高。与USMG相比，IMG从医疗补助和医疗保险获得的收入占比也更高，而自付费用方面则相反。在对精神科医生的年龄、性别、种族、委员会认证和工作环境进行控制后，这些差异大多仍然显著。
IMG和USMG精神科医生有不同的执业模式。大幅减少IMG精神科医生数量的政策可能会对为少数族裔和其他服务不足人群提供精神科医生服务产生不利影响。
