Psychiatric morbidity, service use, and need for care in the general population: Results of the Netherlands Mental Health Survey and Incidence Study
Psychiatric morbidity, service use, and need for care in the general population: Results of the Netherlands Mental Health Survey and Incidence Study
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DOI：
10.2105/ajph.90.4.602
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发表时间：
2000-04-01
影响因子：
12.7
通讯作者：
Ravelli, A
中科院分区：
文献类型：
--
作者：
Bijl, RV;Ravelli, A
目标.本研究探讨了使用初级卫生保健，精神卫生保健，和非正式的护理服务，以及未满足的护理需求，由个人与不同的精神病：diagnoses. Methods。数据来源于荷兰精神健康调查和发病率研究，并基于一般人群（18-64岁）的代表性样本（n = 7147）。在12个月的时间里，33.9%的精神疾病患者使用某种形式的护理; 27.2%的人使用初级护理，15.3%的人使用心理健康护理。有情绪障碍的病人最有可能寻求专业护理，而那些与酒精和毒品有关的病人最不可能这样做。受过高等教育的独居者、单亲父母、失业者和残疾人更有可能使用精神卫生保健。16.8%（男性9.9%，女性23.9%）的精神障碍患者报告了未满足的专业帮助需求。全科医生在治疗精神障碍患者方面的作用比预期的要有限。与广泛使用专业护理相关的类别中的患者更有可能有未满足的护理需求。
Objectives. This study examined the use of primary health care, mental health care, and informal care services, as well as unmet care needs, by individuals with different psychiatric: diagnoses.Methods. Data were derived from the Netherlands Mental Health Survey and incidence Study and were based on a representative sample (n = 7147) of the general population (aged 18-64 years).Results. In a 12-month period, 33.9%, of those with a psychiatric disorder used some form of care; 27.2% used primary care, and 15.3% used mental health care. Patients with mood disorders were the most likely to enlist professional care: those with alcohol-and drug-related disorders were the least likely to do so. Higher educated persons who live alone, single parents, unemployed persons, and disabled persons were more likely to use mental health care. Unmet need for professional help was reported by 16.8% (men 9.9%, women 23.9%) of those with a disorder.Conclusions. Care use varies widely by diagnostic category The role of general medical practitioners in treating persons with psychiatric disorders is more limited than was anticipated. Patients in categories associated with extensive use of professional care are more likely to have unmet care needs.