O'Connor Daniel, Melding Pamela
Department of Psychological Medicine, Monash University, Victoria, Australia.
Aust N Z J Psychiatry. 2006 Apr;40(4):368-73. doi: 10.1080/j.1440-1614.2006.01804.x.
To map the size and distribution of publicly funded aged psychiatry (psychogeriatric) services in Australia and New Zealand in 2003.
Services were tracked exhaustively through personal, professional and academic contacts, electronic searches and word-of-mouth. Directors or managers of services were asked to complete a brief questionnaire concerning their locality, services, staff profile and patient contacts.
Services varied widely with respect to their numbers, size and community outreach. Victoria was the only Australian state to provide specialist, multidisciplinary aged psychiatry teams with community, acute inpatient and residential arms in all its major cities. New South Wales, the state with the largest aged population, performed relatively poorly on most indicators. New Zealand performed relatively well despite its small size and widely dispersed population.
Publicly funded aged mental health services are effective and reach frail, multiply disabled old people who cannot access private psychiatrists and are often overlooked by services for younger adults. At the time of our survey, such services were distributed in Australia in a highly inequitable fashion.
绘制2003年澳大利亚和新西兰公共资助的老年精神病学（老年精神科）服务的规模和分布情况。
通过个人、专业和学术联系、电子搜索及口碑等方式对服务进行全面追踪。要求服务机构的主任或经理填写一份简短问卷，内容涉及所在地区、服务情况、员工概况及患者接触情况。
服务在数量、规模和社区覆盖范围方面差异很大。维多利亚州是澳大利亚唯一一个在其所有主要城市都设有专科、多学科老年精神病学团队，且涵盖社区、急性住院和住院护理部门的州。老年人口最多的新南威尔士州在大多数指标上表现相对较差。新西兰尽管面积小、人口分布分散，但表现相对较好。
公共资助的老年心理健康服务是有效的，能够惠及那些无法获得私人精神科医生服务且常被年轻人服务机构忽视的体弱多病、多重残疾的老年人。在我们进行调查时，此类服务在澳大利亚的分布极不均衡。
