McCrone P, Leese M, Thornicroft G, Schene A, Knudsen H C, Vázquez-Barquero J L, Tansella M, Becker T
Section of Community Psychiatry, Institute of Psychiatry, London, UK.
Acta Psychiatr Scand. 2001 May;103(5):370-9. doi: 10.1034/j.1600-0447.2001.00207.x.
To compare the occurrence of needs of patients with schizophrenia in Amsterdam, Copenhagen, London, Santander and Verona.
Patients with schizophrenia were interviewed with the Camberwell Assessment of Need. The mean numbers of total, met and unmet needs were compared across the sites. Ratings for individual domains were also examined. Means were adjusted, using multiple regression analysis, to control for patient differences between sites.
The highest levels of unmet need were in Amsterdam and London. The number of met needs were similar. Adjusting for patient differences reduced the estimated number of unmet needs and total needs in Copenhagen, but made little difference elsewhere. There were many site differences for individual domains.
Needs vary between different countries. Unmet needs are greater in large urban areas like London and Amsterdam. Differences in the pattern of individual needs may be partly explained in terms of service provision.
比较阿姆斯特丹、哥本哈根、伦敦、桑坦德和维罗纳的精神分裂症患者的需求发生率。
采用坎伯韦尔需求评估量表对精神分裂症患者进行访谈。比较各地点总需求、已满足需求和未满足需求的平均数。还对各个领域的评分进行了检查。使用多元回归分析对平均数进行调整，以控制各地点患者之间的差异。
未满足需求水平最高的是阿姆斯特丹和伦敦。已满足需求的数量相似。对患者差异进行调整后，哥本哈根未满足需求和总需求的估计数量减少，但在其他地方影响不大。各个领域存在许多地点差异。
不同国家的需求各不相同。在伦敦和阿姆斯特丹等大城市地区，未满足的需求更多。个体需求模式的差异可能部分归因于服务提供情况。
