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  1. Trends in office-based psychiatric practice.

    Article - En anglais

    Objective 

    The authors examine trends in the composition and duration of visits to psychiatrists in office-based psychiatric practice.

    Method 

    An analysis was performed of physician-reported data from the 1985 and 1995 National Ambulatory Medical Care Surveys focusing on visits to physicians specializing in psychiatry.

    Secular changes in visit characteristics were assessed, and mean visit durations were determined for selected sociodemographic and clinical groups.

    Results 

    In the decade between 1985 and 1995, visits in office-based psychiatry became shorter, less often included psychotherapy, and more often included a medication prescription.

    The proportion of visits that were 10 minutes or less in length increased.

    A shortening in visit duration was most evident for younger patients, privately insured patients, and patients who were not prescribed a psychotropic medication.

    In the 1995 survey, 6.8% of the psychiatric visits included patient contact with another health care professional.

    Conclusions 

    Changing financial arrangements and new pharmacologic treatments may have contributed to these changes in practice style.

    Mots-clés Pascal : Consultation privée, Consultation psychiatrique, Durée, Traitement, Psychothérapie, Système santé, Etats Unis, Amérique du Nord, Amérique, Santé mentale, Homme

    Mots-clés Pascal anglais : Private consultation, Psychiatric consultation, Duration, Treatment, Psychotherapy, Health system, United States, North America, America, Mental health, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0181659

    Code Inist : 002B18H05B. Création : 16/11/1999.