Caraveo-Anduaga J, Mas-Condes C
Departamento de Investigaciones, Instituto Mexicano de Psiquiatría.
Salud Publica Mex. 1990 Sep-Oct;32(5):523-31.
In 1988, the World Health Organization (WHO) invited the Mexican Institute of Psychiatry to participate in a multicentric collaborative four year programme including two basic projects. The first, entitled "Pathway study" for which a geographical area of Mexico city was selected, in which two psychiatric services of different institutions served the population. All new patients seen in a five week period were interviewed by an assistant researcher obtaining information about the following: a) onset of the actual episode of illness; b) the first and subsequent decisions to seek care; c) symptoms presented on each decision; d) treatments offered; e) time elapsed since onset of the disorder until the first decision to seek care; f) time elapsed from the latter until arriving to the psychiatric service and g) psychiatric diagnosis. This report presents the results, comparing both institutions, which differed on the socioeconomic status of the population served, as well as on some of the pathology presented. The time elapsed between the onset of the disorder and the first decision to seek care was different for the disorders and the kind of population. The delay between the first seek of care and the arrival to psychiatric services also showed differences. Strategies for intervention for both institutions are discussed as well as the utility of the research model used.
1988年，世界卫生组织（WHO）邀请墨西哥精神病学研究所参与一项为期四年的多中心合作项目，该项目包括两个基础项目。第一个项目名为“路径研究”，项目选定了墨西哥城的一个地理区域，由不同机构的两个精神科服务部门为该区域居民提供服务。在为期五周的时间里，所有新接诊的患者都由一名助理研究员进行访谈，收集以下信息：a）当前疾病发作的起始情况；b）首次及后续寻求治疗的决定；c）每次决定时所呈现的症状；d）所提供的治疗；e）从疾病发作到首次决定寻求治疗所经过的时间；f）从首次决定寻求治疗到抵达精神科服务机构所经过的时间；g）精神科诊断。本报告呈现了比较两个机构的结果，这两个机构在所服务人群的社会经济地位以及所呈现的部分病理情况方面存在差异。疾病发作与首次决定寻求治疗之间所经过的时间因疾病类型和人群类型而异。首次寻求治疗与抵达精神科服务机构之间的延迟也存在差异。文中还讨论了两个机构的干预策略以及所采用研究模型的效用。
