全科医生在过去25年中对精神卫生保健的转诊情况。
GPs' referral to mental health care during the past 25 years.
作者信息
Verhaak P F, van de Lisdonk E H, Bor J H, Hutschemaekers G J
机构信息
Department of Mental Health, Netherlands Institute of Primary Health Care, Utrecht, The Netherlands.
出版信息
Br J Gen Pract. 2000 Apr;50(453):307-8.
Previous research has shown that mental disorder in the community has remained fairly constant over the past 30 years. As a result there has been a shift in mental health care from primary care to specialised mental health care. This shift should be visible in higher referral figures from general practice. In this longitudinal analysis of mental health referrals (1971 to 1997), the authors aimed to answer whether these higher referral rates have occurred, whether there are increases in referral for specific groups, and whether the referral pattern has changed. The results demonstrate an increase in referral rate with a factor of 4.5. It is concluded that we are witnessing a pull from mental health care together with a push from general practice, thus reinforcing each other.
先前的研究表明，在过去30年里，社区中的精神障碍发病率一直相当稳定。因此，精神卫生保健已从初级保健转向专业精神卫生保健。这种转变应该在全科医疗更高的转诊数据中体现出来。在这项对精神卫生转诊（1971年至1997年）的纵向分析中，作者旨在回答是否出现了这些更高的转诊率，特定群体的转诊率是否增加，以及转诊模式是否发生了变化。结果表明转诊率增加了4.5倍。得出的结论是，我们正在目睹精神卫生保健的吸引作用以及全科医疗的推动作用，二者相互强化。
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