Socio-economic differences in psychiatric in-patient care
Socio-economic differences in psychiatric in-patient care
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DOI：
10.1034/j.1600-0447.2003.00071.x
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发表时间：
2003-03-01
影响因子：
6.7
通讯作者：
Ansseau, M
中科院分区：
文献类型：
--
作者：
Lorant, V;Kampfl, D;Ansseau, M
目的：我们试图调查社会经济差异在精神科住院病人护理方面的入院，治疗和outcome.Method：本研究是在一个全面和详尽的精神病病例登记册上进行的所有精神科住院病人护理在比利时在1997年和1998年结果：社会经济地位较低的群体更有可能被强迫入院，在非教学医院或精神病院接受治疗，入院时平均住院时间出乎意料地长，并入住病例组合更严重的病房。他们不太可能接受抗抑郁药和心理治疗。功能和症状的改善对这些群体也不太有利。最低的一组有较高的死亡风险在hospital.Conclusion：精神科住院治疗与中度社会经济差异的访问，治疗和结果。需要进一步研究，以澄清这种差异的原因。
Objective: We seek to investigate socio-economic differences in psychiatric in-patient care regarding admission, treatment and outcome.Method: This study is undertaken on a comprehensive and exhaustive psychiatric case register of all psychiatric in-patient care carried out in Belgium in 1997 and 1998 (n =144 754).Results: Lower socio-economic groups were more likely to be compulsorily admitted, to be cared for in a non-teaching or psychiatric hospital, to be admitted in a hospital with unexpectedly long average length of stay and to be admitted to a ward with a more severe case-mix. They were less likely to receive antidepressants and psychotherapies. The improvements in functioning and in symptoms were also less favourable for these groups. The lowest group had a higher risk of dying in the hospital.Conclusion: Psychiatric in-patient care is associated with moderate socio-economic differences in access, treatment and outcome. Further research is needed to clarify the causes of such disparities.