Past-year use of outpatient services for psychiatric problems in the national comorbidity survey
Past-year use of outpatient services for psychiatric problems in the national comorbidity survey
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DOI：
10.1176/ajp.156.1.115
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发表时间：
1999-01-01
影响因子：
17.7
通讯作者：
Leaf, P
中科院分区：
文献类型：
--
作者：
Kessler, RC;Zhao, SY;Leaf, P
目的：作者提供了 12 个月使用门诊服务治疗精神问题的全国代表性描述性数据。他们重点研究了 DSM-III-R 疾病与四个广义服务部门的服务使用之间的关系以及多个服务部门中服务使用的分布。方法：检查了全国合并症调查的数据。结果：疾病严重性和复杂性的汇总测量与使用概率、使用的部门数量、平均就诊次数和专业治疗显着相关。四分之一的门诊患者在多个服务部门就诊，但没有发现多部门就诊次数相互抵消的证据。结论：在 20 世纪 80 年代初至 90 年代初的十年间，针对精神问题的门诊服务的使用似乎有所增加，尤其是在自助领域。治疗资源的总体分配与需求相关，这凸显了在目前作为管理式护理一部分而发展的分诊系统中为特殊护理提供规定的重要性。
Objective: The authors present nationally representative descriptive data on 12-month use of outpatient services for psychiatric problems. They focused on the relationship between DSM-III-R disorders and service use in four broadly defined service sectors as well as the distribution of service use in multiple service sectors. Method: Data from the National Comorbidity Survey were examined. Results: Summary measures of the seriousness and complexity of illness were significantly related to probability of use, number of sectors used, mean number of visits, and specialty treatment. One-fourth of the people in outpatient treatment were seen in multiple service sectors, but no evidence was found of multisector offset in number of visits. Conclusions: Use of outpatient services for psychiatric problems appears to have increased over the decade between the early 1980s and early 1990s, especially in the self-help sector. Aggregate allocation of treatment resources was related to need, highlighting the importance of making provisions for specialty care in the triage systems currently evolving as part of managed care.