Beardsley R S, Gardocki G J, Larson D B, Hidalgo J
School of Pharmacy, University of Maryland, Baltimore 21201.
Arch Gen Psychiatry. 1988 Dec;45(12):1117-9. doi: 10.1001/archpsyc.1988.01800360065009.
This study investigates the prescribing of psychotropic medications by primary care physicians and psychiatrists using the National Ambulatory Medical Care Survey database. Results indicate that primary care practitioners provide a larger percentage of psychotropic drug visits than psychiatrists in every psychotropic class except for those patients prescribed lithium. In addition, the two provider groups differed in the relative proportions of the classes of psychotropic drugs prescribed. Primary care physicians prescribed anxiolytics most frequently, while psychiatrists prescribed antidepressants most often. Finally, in all therapeutic classes, when a psychotropic medication was prescribed, psychiatrists typically provided a mental health diagnosis, while primary care physicians did not.
本研究利用国家门诊医疗护理调查数据库，调查了初级保健医生和精神科医生开具精神类药物的情况。结果表明，除了开具锂盐的患者外，在每一类精神药物中，初级保健从业者提供的精神类药物诊疗比例都高于精神科医生。此外，两组医疗服务提供者在开具的精神药物类别相对比例上存在差异。初级保健医生最常开具抗焦虑药，而精神科医生最常开具抗抑郁药。最后，在所有治疗类别中，当开具精神类药物时，精神科医生通常会做出心理健康诊断，而初级保健医生则不会。
