Salize H J, Küstner B M, Torres-Gonzalez F, Reinhard I, Estévez J F, Rössler W
Central Institute of Mental Health, Mannheim, Germany.
Acta Psychiatr Scand. 1999 Nov;100(5):328-34. doi: 10.1111/j.1600-0447.1999.tb10875.x.
The aims of this study were to develop an indicator for comparing the effectiveness of community mental health care across different areas, and to compare the effectiveness of care for schizophrenic patients in two European regions.
In a long-term follow-up, service utilization, needs for care and met needs of schizophrenic patients were assessed. An indicator of effectiveness of care was calculated for each region and compared.
Patients in Mannheim received much more intervention in all types of mental health care. Despite differing utilization patterns, the indicator of effectiveness of care revealed no differences in the area of symptoms and behaviour problems between the two regions, while significant differences in the area of skills and abilities of patients were detected.
We succeeded in defining a measure that describes effectiveness of mental health care in terms of the long-term relationship between needs and unmet needs of patients. Our results contribute to an evidence-based discussion of the improvement of community mental health care networks.
本研究的目的是开发一种指标，用于比较不同地区社区精神卫生保健的有效性，并比较两个欧洲地区精神分裂症患者的护理效果。
在长期随访中，评估了精神分裂症患者的服务利用情况、护理需求和满足的需求。计算每个地区的护理效果指标并进行比较。
曼海姆的患者在各类精神卫生保健方面接受了更多干预。尽管利用模式不同，但护理效果指标显示，两个地区在症状和行为问题方面没有差异，而在患者技能和能力方面检测到显著差异。
我们成功定义了一种衡量方法，该方法根据患者需求与未满足需求之间的长期关系来描述精神卫生保健的有效性。我们的结果有助于基于证据讨论改善社区精神卫生保健网络。
