Struch Naomi, Shereshevsky Yechiel, Baidani-Auerbach Alona, Lachman Max, Sagiv Noga, Zehavi Tali, Levav Itzhak
Myers-JDC-Brookdale Institute, Jerusalem, Israel.
Isr J Psychiatry Relat Sci. 2008;45(2):129-40.
We examined the public's preferences regarding the site of provision of mental health care and the basis for those preferences. A representative sample of the adult Israeli population (N = 1,583) was interviewed by telephone about their knowledge and attitudes. Self-referral to mental health professionals and primary medical doctors for milder disorders was low. Psychiatric clinics were preferred by 46% of the public; 35% preferred the general clinics, and the remaining 19% were indifferent. Quality of care was noted by 78% of respondents for their preference for psychiatric clinics. General hospitals were preferred for psychiatric inpatient care by 51% of the respondents compared to 23% who opted for psychiatric hospitals. Despite reasonable familiarity with mental health care, one-third of the respondents did not know whether there was a clinic in their neighborhood. Implications for action are discussed in light of the transfer of responsibility for psychiatric care from the Ministry of Health to the health maintenance organizations
我们调查了公众对精神卫生保健提供地点的偏好以及这些偏好的依据。通过电话采访了以色列成年人口的代表性样本(N = 1583),了解他们的知识和态度。对于较轻疾病,自我转诊至精神卫生专业人员和初级医疗医生的比例较低。46%的公众更喜欢精神科诊所;35%更喜欢综合诊所,其余19%无偏好。78%的受访者表示,他们偏好精神科诊所的原因是医疗质量。51%的受访者更倾向于在综合医院接受精神科住院治疗,而选择精神病医院的受访者占23%。尽管对精神卫生保健有一定了解,但三分之一的受访者不知道他们所在社区是否有诊所。鉴于精神科护理责任从卫生部转移至健康维护组织,本文讨论了相应的行动建议。