Thomas C R, Holzer C E
Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch at Galveston 77555-0425, USA.
J Am Acad Child Adolesc Psychiatry. 1999 Jan;38(1):9-15; discussion 15-6. doi: 10.1097/00004583-199901000-00013.
To describe the national distribution of child and adolescent psychiatrists by state, community, and youth population.
Data on child and adolescent psychiatrists were compiled for states and counties and compared by state, county characteristics, number of youth, percentage of youth living in poverty, and child and adolescent psychiatry residents.
The number of child and adolescent psychiatrists per 100,000 youth varied greatly by state and county. Child and adolescent psychiatrists were significantly more likely to be located in metropolitan counties and counties with a low percentage of children living in poverty. The distribution of child and adolescent psychiatrists was not significantly related to the distribution of child and adolescent psychiatry residency training programs.
The shortage of child and adolescent psychiatrists is accentuated for nonmetropolitan areas and youth at greatest risk for mental disorders by the current pattern of distribution.
按州、社区和青少年人口描述儿童及青少年精神科医生的全国分布情况。
收集了各州及各县儿童及青少年精神科医生的数据，并按州、县特征、青少年数量、生活在贫困中的青少年百分比以及儿童及青少年精神科住院医师进行了比较。
每10万名青少年中儿童及青少年精神科医生的数量在各州及各县差异很大。儿童及青少年精神科医生更有可能分布在大都市县以及儿童生活在贫困中比例较低的县。儿童及青少年精神科医生的分布与儿童及青少年精神科住院医师培训项目的分布没有显著关系。
目前的分布模式加剧了非大都市地区以及精神障碍风险最高的青少年群体中儿童及青少年精神科医生短缺的问题。
