Ushakov Iu V, Bogdanova E D, Shipin S V, Mirzoian M G
Zh Nevropatol Psikhiatr Im S S Korsakova. 1992;92(3):90-6.
The paper is a fragment of a comparative clinico-economic study of two models of organizational forms of psychiatric services in Moscow and Kaluga with special reference to schizophrenic patients (386 and 531 patients, respectively). The authors describe the results of computing expenditures on patients depending on the sex, age, disease pattern and social factors including educational and skill levels, family status, and family structure. The values of "direct" and "indirect" expenditures on schizophrenic patients are fairly variable. There are definite significant relationships between the magnitude of these expenditures and clinico-psychopathological and social factors as is their certain stability in both patients' populations examined. The adequately designed psychiatric services, scientifically based financing of the appropriate treatment and social rehabilitation programs may have a noticeable effect on the magnitude and character of losses on the part of the state, connected with schizophrenic patients, decrease expenditures on them as well as markedly improve their social functioning.
本文是一项关于莫斯科和卡卢加州两种精神科服务组织形式的比较临床经济学研究的片段,特别针对精神分裂症患者(分别为386例和531例)。作者描述了根据性别、年龄、疾病模式以及包括教育和技能水平、家庭状况和家庭结构在内的社会因素计算患者支出的结果。精神分裂症患者的“直接”和“间接”支出值差异很大。这些支出的规模与临床心理病理和社会因素之间存在明确的显著关系,并且在所研究的两组患者群体中都具有一定的稳定性。设计合理的精神科服务、基于科学的适当治疗和社会康复项目的资金投入,可能会对国家与精神分裂症患者相关的损失规模和性质产生显著影响,减少对他们的支出,并显著改善他们的社会功能。