Gurland B
Int J Aging Hum Dev. 1976;7(4):283-93. doi: 10.2190/n00c-hvd6-w8j8-7kxy.
The US-UK Cross-National Project is conducting a series of trans-Atlanti comparisons of psychiatric practice and psychiatric disorders. The inital studies investigated the large US-UK cross-national differences reported in the public mental hospital statistics on adult admission rates of schizophrenia and the manic-depressive disorders. Three general strategies were adopted: (1) semi-structured interviews with hospitalized patients aged 20-59 years; (2) rating of videotapes by samples of psychiatrists; and (3) systematic examination of case records. The results showed that routine hospital diagnoses were based on differing criteria in the two countries and it was this that accounted for the reported cross-national differences in admission rates. A method of making internationally reliable diagnoses was demonstrated.
美英跨国项目正在对精神病学实践和精神障碍进行一系列跨大西洋比较。最初的研究调查了公立精神病院统计数据中所报告的美英两国在精神分裂症和躁郁症成人住院率方面的巨大跨国差异。采用了三种一般策略：（1）对20至59岁的住院患者进行半结构化访谈；（2）由精神科医生样本对录像带进行评分；（3）对病例记录进行系统检查。结果表明，两国常规医院诊断所依据的标准不同，正是这一点导致了所报告的住院率跨国差异。展示了一种做出国际可靠诊断的方法。
