Bhui Kamaldeep, Stansfeld Stephen, Hull Sally, Priebe Stefan, Mole Funke, Feder Gene
Department of Psychiatry, Barts and the London, Queen Mary's School of Medicine and Dentistry, UK.
Br J Psychiatry. 2003 Feb;182:105-16. doi: 10.1192/bjp.182.2.105.
Inequalities of service use across ethnic groups are important to policy makers, service providers and service users.
To identify ethnic variations in pathways to specialist mental health care, continuity of contact, voluntary and compulsory psychiatric in-patient admissions; to assess the methodological strength of the findings.
A systematic review of all quantitative studies comparing use of mental health services by more than one ethnic group in the UK. Narrative analysis supplemented by meta-analysis, where appropriate.
Most studies compared Black and White patients, finding higher rates of in-patient admission among Black patients. The pooled odds ratio for compulsory admission, Black patients compared with White patients, was 4.31 (95% CI 3.33-5.58). Black patients had more complex pathways to specialist care, with some evidence of ethnic variations in primary care assessments.
There is strong evidence of variation between ethnic groups for voluntary and compulsory admissions, and some evidence of variation in pathways to specialist care.
不同种族群体在服务利用方面的不平等对政策制定者、服务提供者和服务使用者而言至关重要。
确定在获得专科精神卫生保健的途径、持续接触、自愿和强制住院精神病患者入院方面的种族差异；评估研究结果在方法学上的优势。
对所有比较英国多个种族群体使用精神卫生服务情况的定量研究进行系统综述。必要时辅以叙述性分析和荟萃分析。
大多数研究比较了黑人和白人患者，发现黑人患者的住院率较高。黑人患者与白人患者相比，强制入院的合并比值比为4.31（95%可信区间3.33 - 5.58）。黑人患者获得专科护理的途径更为复杂，有证据表明在初级保健评估中存在种族差异。
有强有力的证据表明不同种族群体在自愿和强制入院方面存在差异，并且有一些证据表明在获得专科护理的途径方面存在差异。
