Perlman B B, Schwartz A H, Paris M, Thornton J C, Smith H, Weber R
Am J Psychiatry. 1982 Sep;139(9):1154-7. doi: 10.1176/ajp.139.9.1154.
In this study of the delivery of outpatient psychiatric care to Medicaid patients at all 29 free-standing psychiatric clinics and at six hospital clinics in New York City, the authors found that nonphysician mental health workers provided much direct patient care: diagnosis and identifying data, necessary for reimbursement, were always included in records whereas mental status and medical history were poorly documented; and nonphysicians in hospitals generally surpassed physicians in the latter two areas. An additional observation was that attitudes of mental health workers toward certain diagnostic and ethnic groups may be inferred from the selective completeness of their psychiatric record keeping.
在这项针对纽约市所有29家独立精神病诊所及6家医院诊所中为医疗补助计划患者提供门诊精神病护理的研究中，作者发现非医师心理健康工作者提供了大量直接的患者护理：诊断及报销所需的识别数据总是包含在记录中，而精神状态和病史记录不完善；并且医院中的非医师在这后两个方面通常超过医师。另一个观察结果是，心理健康工作者对某些诊断和族裔群体的态度可从其精神病记录保存的选择性完整性中推断出来。
