Riley R, Richman A
Clinical Research Centre, Faculty of Medicine, Dalhousie University.
Health Rep. 1990;2(1):37-56.
This article examines mental disorders treated in Canadian general and psychiatric hospitals from 1971 to 1985-86. Significant changes occurred over the period of study. The analysis is based on hospital discharge data from eight provinces. For several decades, mental disorders have been among the leading causes of hospital use. In 1985-86, mental disorders accounted for about 10.8% of total days of care given in general hospitals. The total discharge rate for mental disorders treated in general and psychiatric hospitals declined moderately from 1971 to 1985-86. However the rate for functional psychoses has increased, while for other diagnoses the rates have decreased. The two diagnostic categories most often found in active treatment programs shifted position over the period. In 1971, the rate for general clinical disorders was almost twice that of functional psychoses; since 1981-82, the functional psychoses rate has exceeded the general clinical disorders rate. Discharge rates for functional psychosis for the elderly increased considerably, but remained stable in other age groups. This suggests that mental illness is being diagnosed more often in the elderly, and that treatment of their mental illnesses is more often undertaken.
本文研究了1971年至1985 - 1986年期间加拿大综合医院和精神病医院所治疗的精神障碍。在研究期间发生了显著变化。该分析基于八个省份的医院出院数据。几十年来，精神障碍一直是住院治疗的主要原因之一。1985 - 1986年，精神障碍占综合医院总护理天数的约10.8%。1971年至1985 - 1986年期间，综合医院和精神病医院治疗的精神障碍总出院率适度下降。然而，功能性精神病的出院率有所上升，而其他诊断的出院率则有所下降。在积极治疗项目中最常出现的两个诊断类别在此期间发生了位置变化。1971年，一般临床障碍的出院率几乎是功能性精神病出院率的两倍；自1981 - 1982年以来，功能性精神病的出院率超过了一般临床障碍的出院率。老年人功能性精神病的出院率大幅上升，但在其他年龄组中保持稳定。这表明老年人精神疾病的诊断更为频繁，并且对他们精神疾病的治疗也更为常见。
