Ruggeri Mirella, Leese Morven, Slade Mike, Bonizzato Paola, Fontecedro Laura, Tansella Michele
Dept. of Medicine and Public Health Section of Psychiatry, University of Verona, Verona, Italy.
Soc Psychiatry Psychiatr Epidemiol. 2004 Jan;39(1):60-8. doi: 10.1007/s00127-004-0705-0.
Mental health services should be provided on the basis of need. This study investigated a representative sample of patients attending a community-based psychiatric service. The aim was to identify the profile of patients with higher needs for care, by considering a full range of potential demographic, clinical, social and service correlates.
A total of 268 patients using mental health services in South Verona, Italy, had cross-sectional assessments of their needs (using the Camberwell Assessment of Need), symptomatology, disability, functioning, quality of life, service use and satisfaction with care analysed using linear regression.
A model comprising being male, being unemployed, having high symptomatology and disability, having low functioning and self-reported quality of life, and a high number of outpatient and community contacts accounted for 67% of the variance in total level of need.
Patients who meet any of these criteria may be more likely to have higher needs, which has implications for clinical practice and audit. Assessment of needs for care by using the CAN provides a good overall measure of the number and the severity of a patient's problems in several key areas of everyday life.
精神卫生服务应按需提供。本研究调查了一家社区精神科服务机构的具有代表性的患者样本。目的是通过考虑一系列潜在的人口统计学、临床、社会和服务相关因素，确定护理需求较高的患者特征。
意大利南维罗纳共有268名使用精神卫生服务的患者接受了需求横断面评估（使用坎伯韦尔需求评估量表），对其症状、残疾情况、功能、生活质量、服务使用情况以及对护理的满意度进行线性回归分析。
一个包含男性、失业、症状和残疾程度高、功能和自我报告的生活质量低以及门诊和社区接触次数多的模型，解释了总需求水平方差的67%。
符合这些标准中任何一条的患者可能更有可能有较高的需求，这对临床实践和审计具有启示意义。使用坎伯韦尔需求评估量表评估护理需求，能很好地全面衡量患者在日常生活几个关键领域的问题数量和严重程度。
