Udell B, Hornstra R K
Hosp Community Psychiatry. 1976 Apr;27(4):269-71. doi: 10.1176/ps.27.4.269.
Differences that emerge in comparisons of persons applying for psychiatric care at a mental health center with those applying to the private sector are comfounded by marked diagnostic differences beyond obvious social class differences. To circumvent that problem and to ascertain what differences, if any, persist after diagnosis is held constant, the authors examined demographic and psychosocial characteristics of neurotics in a one-year adult applicant population, the only major diagnostic group treated in large numbers and similar proportions by the center and the private sector. Findings showed that significantly more neurotic applicants in the private sector are medical referrals, are members of intact nuclear families, and do not have previous inpatient experience.
在心理健康中心申请精神科护理的人与在私营部门申请的人之间进行比较时出现的差异,除了明显的社会阶层差异外,还因显著的诊断差异而变得复杂。为了规避这个问题,并确定在诊断保持不变后是否存在任何持续的差异,作者研究了一年期成年申请人群体中神经症患者的人口统计学和心理社会特征,该群体是该中心和私营部门大量治疗且比例相似的唯一主要诊断组。研究结果表明,私营部门中明显更多的神经症申请人是由医生转诊而来,是完整核心家庭的成员,并且没有以前的住院经历。