The practice patterns of international medical graduate (IMG) and U.S. medical graduate (USMG) psychiatrists were compared.
Using data from the 1996 National Survey of Psychiatric Practice, the authors compared IMGs and USMGs in terms of demographic characteristics, practice settings, patients'clinical characteristics, and sources of reimbursement.
The IMGs surveyed tended to be older than USMGs, included a higher proportion of women, and were more racially heterogeneous.
They worked longer hours, worked more frequently in the public sector, and treated a higher proportion of patients with psychotic disorders.
The IMGs also received a higher percentage of their income than USMGs from Medicaid and Medicare, whereas the reverse was true of self-payment.
Most of these differences remained significant after psychiatrist's age, gender, race, board certification, and work setting were controlled for.
IMG and USMG psychiatrists have different practice patterns.
Policies that substantially decrease the number of IMG psychiatrists may adversely affect the availability of psychiatrists to treat minorities and other underserved populations.
Mots-clés Pascal : Psychiatre, Pratique professionnelle, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Enseignement universitaire, Expérience professionnelle, Lieu travail, Personnel sanitaire, Santé mentale, Homme, Lieu étude
Mots-clés Pascal anglais : Psychiatrist, Professional practice, United States, North America, America, Comparative study, Higher education, Professional experience, Work place, Health staff, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0180947
Code Inist : 002B18H04. Création : 16/11/1999.