Windle C, Poppen P J, Thompson J W, Marvelle K
NIMH, Rockville, MD 20857.
Am J Psychiatry. 1988 Apr;145(4):457-63. doi: 10.1176/ajp.145.4.457.
Representative community mental health center (CMHC) survey data showed that psychiatrists differed from other CMHC providers of mental health services by serving the more seriously impaired patients who are admitted and readmitted to outpatient services. Psychiatrists also shared more outpatients with providers from other disciplines than providers in other disciplines shared with one another. The results are consistent with previous research on differences between disciplines and with the flight of psychiatrists from CMHCs but cast doubt on the hypothesis that psychiatrists see sicker patients than psychologists see because of differences in reimbursement between the two disciplines.
具有代表性的社区心理健康中心（CMHC）调查数据显示，精神科医生与其他CMHC心理健康服务提供者存在差异，前者诊治的是那些被门诊服务收治和再次收治的病情更严重的患者。与其他学科的提供者之间相互共享的门诊患者相比，精神科医生与其他学科的提供者共享的门诊患者也更多。这些结果与之前关于学科差异的研究以及精神科医生从CMHC离职的情况一致，但对以下假设提出了质疑：由于两个学科报销方式的差异，精神科医生诊治的患者比心理学家诊治的患者病情更严重。
