Table 2.
Total, n=308 | Private, n=135 | Community mental health center, n=80 | Inpatient/outpatient facility, n=93 | p value | |
---|---|---|---|---|---|
Psychiatrist characteristics | |||||
Male, n (%) | 171 (55.9%) | 85 (63.4%) | 42 (52.5%) | 44 (47.8%) | 0.05 |
White, non-Hispanic, n (%) | 215 (70.5%) | 101 (75.9%) | 46 (58.2%) | 68 (73.1%) | 0.02 |
Board certified in Child and Adolescent Psychiatry, n (%) | 223 (74.6%) | 99 (76.2%) | 50 (64.9%) | 74 (80.4%) | 0.06 |
Age, mean (SD) | 53.7 (11.4) | 56.2 (11.2) | 53.4 (12.4) | 50.5 (10.1) | <0.001 |
Years in practice, mean (SD) | 18.8 (11.3) | 21.3 (11.5) | 17.9 (11.8) | 15.9 (9.7) | 0.001 |
Psychiatrist attitudes and use of SGAs | |||||
Off-label SGA use, n (%) | 103 (35.9%) | 36 (28.4%) | 32 (41.0%) | 35 (42.7%) | 0.06 |
Feel the risk of metabolic syndrome is low enough to warrant the use of SGAs, n (%) | 102 (33.3%) | 56 (41.8%) | 23 (28.8%) | 23 (25.0%) | 0.02 |
Are comfortable performing a physical examination on patients, n (%) | 112 (36.7%) | 36 (27.1%) | 27 (34.2%) | 49 (52.7%) | <0.001 |
Feel patients are noncompliant with blood work, n (%) | 162 (53.3%) | 55 (41.7%) | 57 (72.2%) | 50 (53.8%) | <0.001 |
Practice characteristics | |||||
More than 50% of patients have private insurance, n (%) | 127 (45.7%) | 102 (82.9%) | 3 (4.1%) | 22 (26.8%) | <0.001 |
Electronic health records, n (%) | 125 (41.1%) | 23 (17.3%) | 48 (60.8%) | 54 (58.7%) | <0.001 |
Can measure vital signs, height, and weight on site, n (%) | 262 (85.3%) | 94 (70.2%) | 76 (95.0%) | 92 (98.9%) | <0.001 |
Can get blood drawn on site, n (%) | 79 (26.0%) | 11 (8.2%) | 13 (16.9%) | 55 (59.1%) | <0.001 |
Visits per week, median (25th–75th percentile) | 40.0 (20.0, 60.0) | 40.0 (30,0, 60.0) | 50.0 (30.0, 75.0) | 20.0 (10.0, 40.0) | 0.002 |
Population density, n (%) | <0.001 | ||||
Urban | 144 (48.5%) | 50 (37.6%) | 40 (51.3%) | 54 (62.8%) | |
Suburban | 123 (41.4%) | 72 (54.1%) | 23 (29.5%) | 28 (32.6%) | |
Rural | 30 (10.1%) | 11 (8.3%) | 15 (19.2%) | 4 (4.7%) |
SGA, second generation antipsychotics.