Racial/ethnic identity and amount and type of psychiatric treatment.
Racial/ethnic identity and amount and type of psychiatric treatment.
复制标题
种族/民族身份以及精神治疗的数量和类型。
DOI：
10.1176/ajp.149.3.379
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Hu,LT
中科院分区：
文献类型：
--
作者：
Flaskerud,JH;Hu,LT
本研究的目的是检查种族/民族身份的关系，由白色，黑人，拉丁美洲人和亚洲患者在洛杉矶县精神卫生system.MethodThe研究的患者（N= 19,400）的数量和类型的精神病治疗，包括所有的成年住院患者和门诊病人在1983年1月和1988年8月之间看到的所有县精神卫生设施。多元回归分析用于测试种族/民族之间的关系和接受治疗的四个措施：治疗次数，治疗方式，治疗设置和治疗师的纪律。协变量包括在分析中的年龄，性别，社会经济地位，主要语言，诊断和治疗措施时，这些都是逻辑预测，并没有作为因变量。ResultsRace/ethnicity没有一致的显着关系的治疗变量研究。然而，诊断有一个一致的和高度显着的关系，所有四个措施的治疗。精神病诊断与接受更多的治疗、更多地使用药物、更多地使用住院治疗和更少地接受专业治疗师的治疗有关。社会经济地位和主要语言也有一致的和显着的关系，三个治疗variable.ConclusionsIn考虑修改的服务提供系统，临床医生必须评估是否提供给精神病患者的治疗类型是治疗的选择，在有效性和效率方面，或是否涉及偏见的服务提供。同样，必须解决低社会经济地位患者治疗中的偏倚问题。
ObjectiveThe purpose of this study was to examine the relationship of racial/ethnic identity to the amount and type of psychiatric treatment received by white, black, Latino, and Asian patients in the Los Angeles County mental health system.MethodThe patients studied (N= 19,400) consisted of all adult inpatients and outpatients seen in all county mental health facilities between January 1983 and August 1988. Multiple regression analysis was used to test the relationship between race/ethnicity and four measures of treatment received: number of treatment sessions, treatment modality, treatment setting, and therapist's discipline. The covariates included in the analyses were age, sex, socioeconomic status, primary language, diagnosis, and measures of treatment when these were logical predictors and were not acting as dependent variables.ResultsRace/ethnicity did not have a consistent significant relationship to the treatment variables studied. However, diagnosis had a consistent and highly significant relationship to all four measures of treatment. A psychotic diagnosis was related to receiving more treatment sessions, greater use of medication, greater use of inpatient treatment, and less treatment by a professional therapist. Socioeconomic status and primary language also had consistent and significant relationships to three of the treatment variables.ConclusionsIn considering modifications to the service delivery system, clinicians must evaluate whether the type of treatment provided to psychotic patients is the treatment of choice in terms of effectiveness and efficiency or whether it involves bias in service delivery. Similarly, the issue of bias in treatment of lower socioeconomic patients must be addressed.