Kai J, Crosland A, Drinkwater C
Department of Primary Care and General Practice, University of Birmingham.
Br J Gen Pract. 2000 Dec;50(461):992-4.
Previous research identifying the long-term mentally ill in primary care has been outside areas of deprivation. We used a case finding approach by a primary care group to identify the prevalence and characteristics of people with enduring and disabling mental ill health in a disadvantaged inner-city community. We found a high point prevalence (12.9 per 1000 patients) of enduring psychotic and non-psychotic illness (36.1% and 63.9% respectively). This contributed to considerable workload and disability, and included a significant proportion of older people (24.6% aged over 65 years). The approach may be useful for local needs assessment. It highlights a need to consider disability as well as diagnosis for service development.
以往在初级保健机构中识别长期患有精神疾病患者的研究都没有涉及贫困地区。我们采用了一种由初级保健团队进行病例发现的方法，以确定一个处于劣势的市中心社区中患有持久性和致残性精神疾病的人群的患病率及特征。我们发现持久性精神病性和非精神病性疾病的时点患病率很高（每1000名患者中有12.9例）（分别为36.1%和63.9%）。这导致了相当大的工作量和残疾情况，其中包括相当比例的老年人（24.6%年龄在65岁以上）。该方法可能有助于进行当地的需求评估。它凸显了在服务发展中需要同时考虑残疾情况和诊断。
