Liu Chun-Hao, Tsai Po-Hsin, Chen Ching-Yen
Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan.
College of Medicine, Chang Gung University, Taoyuan.
Neuropsychiatr Dis Treat. 2018 Feb 1;14:429-433. doi: 10.2147/NDT.S154490. eCollection 2018.
Although many studies have discussed psychiatrists' attitudes toward long-acting injectable antipsychotics (LAIs), no previous study has focused on differences in preference based on the facilities in which the psychiatrists practiced.
A pilot survey was conducted in a medical center in northern Taiwan, and a questionnaire was then distributed at the annual conference of the Taiwanese Society of Psychiatry in 2013. The questionnaire included general demographic data and preferences for the use of LAIs in different situations.
A total of 142 psychiatrists were included in our study. Among them, 114 were male (80.3%), and most practiced in general hospitals (n=110, 77.5%). We found that general hospital psychiatrists were more likely to prescribe LAIs for patients in the acute stage and with positive symptoms than were psychiatric hospital psychiatrists. General hospital psychiatrists also tended to prescribe LAIs at every time point of the disease.
General hospital psychiatrists were more likely to prescribe LAIs than those in psychiatric hospitals. Knowing the factors affecting psychiatrists' preferences may help us to develop a further study to explore "why" psychiatrists consider or do not consider LAIs in different facilities.
尽管许多研究探讨了精神科医生对长效注射用抗精神病药物（LAIs）的态度，但此前尚无研究关注精神科医生执业机构不同导致的偏好差异。
在台湾北部的一家医疗中心进行了一项初步调查，随后于2013年在台湾精神医学会年会上发放问卷。问卷包括一般人口统计学数据以及在不同情况下使用LAIs的偏好。
我们的研究共纳入142名精神科医生。其中，114名男性（80.3%），大多数在综合医院执业（n = 110，77.5%）。我们发现，与精神病医院的精神科医生相比，综合医院的精神科医生更倾向于为急性期患者及有阳性症状的患者开具LAIs。综合医院的精神科医生在疾病的各个时间点也都倾向于开具LAIs。
综合医院的精神科医生比精神病医院的精神科医生更倾向于开具LAIs。了解影响精神科医生偏好的因素可能有助于我们开展进一步研究，以探究精神科医生在不同机构中考虑或不考虑使用LAIs的“原因”。
