Montoya Ivan D, Herbeck Diane M, Svikis Dace S, Fitek Diana J, Marcus Steven C, Pincus Harold A
Division of Treatment Research and Development, National Institute on Drug Abuse, Bethesda, MD 20892, USA.
Am J Addict. 2003 May-Jun;12(3):181-92. doi: 10.1080/10550490390201759.
This study examined the sociodemographic and practice characteristics of psychiatrists whose caseloads consist primarily of patients with Substance Use Disorders (SUD). A survey instrument was completed by a random sample of 865 psychiatrists. Study groups were defined as high-SUD providers if psychiatrists reported having 51% or more patients with SUD (n=92) and non-SUD providers as those who reported not having any patients with SUD (n=128). High-SUD providers tended to be younger, more likely to graduate from international medical schools, have larger caseloads, work more hours per week, and have a higher proportion of inpatients and publicly funded patients than non-SUD providers. Results suggest that psychiatrists who primarily treat patients with SUD are in their early careers and treat patients with more clinical, psychosocial, and economic disadvantages. The implications of these findings for psychiatry training programs and policy makers will be discussed.
本研究调查了那些主要负责治疗物质使用障碍（SUD）患者的精神科医生的社会人口学特征和执业特点。通过对865名精神科医生进行随机抽样，完成了一份调查问卷。如果精神科医生报告称其51%或更多的患者患有SUD（n = 92），则将研究组定义为高SUD治疗医生；而那些报告没有任何SUD患者的医生（n = 128）则被定义为非SUD治疗医生。与非SUD治疗医生相比，高SUD治疗医生往往更年轻，更有可能毕业于国际医学院校，病例量更大，每周工作时间更长，且住院患者和公费患者的比例更高。结果表明，主要治疗SUD患者的精神科医生正处于职业生涯早期，他们治疗的患者在临床、心理社会和经济方面处于更不利的状况。将讨论这些发现对精神科培训项目和政策制定者的影响。
