Austad C S, Sherman W O, Holstein L
Psychology Department, Central Connecticut State University, New Britain 06050.
HMO Pract. 1993 Sep;7(3):122-6.
Managed care is becoming a significant force shaping the development of contemporary mental health treatment. In order to understand how the HMO affects practice style, 294 psychotherapists (psychologists, psychiatrists, social workers, and others) responded to objective and open-ended questions about psychotherapy models, psychotherapy orientation, practice habits, quality of work, work conditions, stresses, burnout and its prevention, graduate training, evolution of practice style and the development of self as a person. A tentative "composite sketch" of the typical HMO therapist is developed. Practical applications of the findings are discussed, and advice and recommendations are offered to the beginning HMO therapist.
管理式医疗正成为塑造当代心理健康治疗发展的一股重要力量。为了了解健康维护组织（HMO）如何影响执业方式，294名心理治疗师（心理学家、精神科医生、社会工作者及其他人员）回答了关于心理治疗模式、心理治疗取向、执业习惯、工作质量、工作条件、压力、职业倦怠及其预防、研究生培训、执业方式的演变以及个人成长等方面的客观和开放式问题。由此勾勒出了一份典型的HMO治疗师的初步“综合概况”。文中讨论了研究结果的实际应用，并为初入HMO的治疗师提供了建议。
