Ferguson B, Cooper S, Brothwell J, Markantonakis A, Tyrer P
Clinical Research Department, Mapperley Hospital, Nottingham.
Br J Psychiatry. 1992 Apr;160:493-7. doi: 10.1192/bjp.160.4.493.
A new community psychiatric service in Nottingham based on general practice clinics was compared with a conventional hospital-orientated model. Despite providing treatment for an inner-city population of significantly greater social disadvantage, the community service was associated with similar levels of symptom morbidity as assessed by the CRPS and the SFS. It also involved greater use of day-hospital facilities, more extensive multidisciplinary care, and a commitment to longer-term follow-up of chronically ill patients. Such a model is offered as a basis for future developments of urban community psychiatric services.
在诺丁汉，一项基于全科诊所的新型社区精神科服务与传统的以医院为导向的模式进行了比较。尽管该社区服务为社会处境明显更为不利的市中心人群提供治疗，但根据CRPS和SFS评估，其症状发病率水平与传统模式相似。它还更多地利用日间医院设施，提供更广泛的多学科护理，并致力于对慢性病患者进行长期随访。这种模式为城市社区精神科服务的未来发展提供了一个基础。
