Estimating the local prevalence of persons needing community support programs.

Estimating the local prevalence of persons needing community support programs.
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估计当地需要社区支持计划的人员的患病率。

DOI:
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发表时间:
1982
期刊:
Hospital & community psychiatry
影响因子:
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通讯作者:
N. Gutterman
N. Gutterman
中科院分区:
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文献类型:
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作者:
H. Szymanski;H. Schulberg;V. Salter;N. Gutterman

文献摘要

被引文献

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随着针对慢性精神疾病患者的社区支持计划不断扩大,确定有资格获得这些服务的人数变得越来越重要。尽管目前可以获得全国患病率数据,但它们对于州和地方各级的规划规划作用有限。鉴于影响每个社区慢性病人口、人数和服务需求的独特情况,作者建议使用三种方法之一来确定一个患者队列,该队列可近似需要社区支持计划的当地患病率。第一种方法识别以前曾住院且目前需要门诊精神科护理的人员。第二个是识别以前住院过但在指定时间段内需要再次住院的人员。并且,第三种方法识别目前正在门诊治疗并被诊断为精神分裂症的人。方法的选择取决于慢性精神疾病的定义、可用数据的类型、当地的治疗理念和医疗保健系统结构。
As Community Support Programs for the chronically mentally ill expand, it becomes increasingly important to determine the number of individuals qualifying for these services. Although national prevalence data are currently available, they have only limited usefulness for program planning at state and local levels. Given the distinctive circumstances affecting each community's chronically ill population, their number, and their need for services, the authors propose identifying a patient cohort that approximates the local prevalence of persons needing Community Support Programs by using one of three methods. The first method identifies persons who have been hospitalized previously and who currently require outpatient psychiatric care. The second identifies persons previously hospitalized who require another hospitalization during a specified period of time. And, the third method identifies persons who are currently in outpatient treatment with a diagnosis of schizophrenia. choice of method depends on definition of chronic mental illness, type of data available, local treatment philosophies, and health care system structure.