Trends in office-based mental health care provided by psychiatrists and primary care physicians.

摘要: Objective To assess recent national trends in mental health care provided by office-based psychiatrists and primary physicians. Method Trends health-related visits to physicians are evaluated with the 1995-2010 National Ambulatory Medical Care Surveys. Rates percentages of complaints, disorder diagnoses, psychotropic medications, psychotherapy or counseling were calculated for 1995-1998, 1999-2002, 2003-2006, 2007-2010 dividing number a given type intercensal population estimates. Results Between 1995-1998 2007-2010, significant increase occurred rate per 100 complaints (5.96 8.49) (OR = 0.45; 95% CI, 0.33-0.62, disorders (8.75 13.23) 1.40; 1.26-1.56), medications (11.08 26.74) (OR=3.43; 2.16-2.71). Significant corresponding increases psychiatrist (5.28 7.85) 2.25; 1.49-3.41), but not (7.60 8.95) 0.87; 0.34-2.23), significantly declined (5.87 5.20) 0.33-0.62). During this period, that included prescriptions antidepressants (interaction P .0001), antipsychotics .03), anxiolytics/hypnotics .0009) increased faster than psychiatrists. A similar pattern resulted bipolar diagnosis .01). Conclusions In years, have their involvement providing care. These underscore importance collaboration between help ensure provision high quality outpatient