焦虑症和抑郁症处方的差异：是健康不平等、文化差异还是医疗服务可及性差异的反映？
Variation in prescribing for anxiety and depression: a reflection of health inequalities, cultural differences or variations in access to care?
作者信息
Goyder Elizabeth, Dibben Chris, Grimsley Michael, Peters Jean, Blank Lindsay, Ellis Elizabeth
机构信息
School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
出版信息
Int J Equity Health. 2006 May 18;5:4. doi: 10.1186/1475-9276-5-4.
BACKGROUND
There are large variations in mental health prescribing in UK populations. However the underlying reasons for these differences, which may be related to differences in prevalence, cultural expectations or practical difficulties in access to treatment, remain uncertain.
METHODS
Linear modelling was used to investigate whether population characteristics or access to primary care account for variations in mental health prescribing across 39 deprived neighbourhoods.
RESULTS
The proportion of sampled respondents whose first language was not English and the ratio of general practitioners to population explained 61% of variation. Deprivation and mental health status were not significant predictors of prescribing in these relatively deprived communities.
CONCLUSION
These findings suggest that mental health prescribing, within deprived areas, as well as reflecting cultural and social differences in prescribing, may also be a proxy measure of access to care.
背景
英国人群在心理健康处方方面存在很大差异。然而，这些差异的潜在原因尚不确定，可能与患病率差异、文化期望或获得治疗的实际困难有关。
方法
采用线性模型研究人口特征或初级医疗服务可及性是否能解释39个贫困社区心理健康处方的差异。
结果
母语非英语的抽样受访者比例以及全科医生与人口的比例解释了61%的差异。在这些相对贫困的社区中，贫困程度和心理健康状况并不是处方的显著预测因素。
结论
这些发现表明，在贫困地区，心理健康处方不仅反映了处方方面的文化和社会差异，还可能是获得医疗服务的一种替代指标。
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