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社会指标与精神科住院服务利用的预测

Social indicators and the prediction of psychiatric inpatient service utilisation.

作者信息

Burgess P M, Joyce C M, Pattison P E, Finch S J

机构信息

Psychiatric Epidemiology, Health Department Victoria.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 1992 Mar;27(2):83-94. doi: 10.1007/BF00788511.

Abstract

The relationship between social variables and psychiatric service use in Victoria was investigated using a social indicators approach. Indicators were developed separately for the urban and rural areas of the state using 1986 census data. Principal components analysis was employed to reduce the data. Simple, unit weight indicators were developed and explained a considerable proportion of the variation in the rate of persons admitted to psychiatric facilities, the rate of admission episodes and the rate of occupied bed days for urban areas; a moderate amount of variation for these measures was accounted for by indicators developed for rural areas. The findings were considered in relation to both methodological issues and the role of other factors (e.g., accessibility and availability of psychiatric services) which may contribute to service use.

摘要

采用社会指标方法,对维多利亚州社会变量与精神科服务利用之间的关系进行了调查。利用1986年人口普查数据,分别为该州城乡地区制定了指标。采用主成分分析法对数据进行简化。制定了简单的单位权重指标,这些指标解释了城市地区精神科设施住院人数、住院次数以及占用床日数等比率变化的相当大比例;为农村地区制定的指标解释了这些指标变化的适度比例。从方法学问题以及其他可能影响服务利用的因素(如精神科服务的可及性和可得性)的角度,对研究结果进行了考量。

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