DINESH BHUGRA, Institue of Psychiatry de Crespigny Park, London S ES 8AF.
Indian J Psychiatry. 2003 Apr;45(2):27-30.
The understanding of pathways into care is necessary to plan services and identify health care needs of patients. We set out to study these pathways into care in south Asian and white elderly patients coming into contact with secondary care psychiatric services. All inpatients, day patients and community assessments of patients over 65 being referred for the first time or after a gap of one year were invited to take part in the study over a 6 month period and those willing were interviewed. Pathways to care encounter, GP satisfaction, Past Psychiatric History Schedule and menul illness beliefs were studied. Only the pathways and GP satisfaction are presented here. Of 117 patients, 71 were white and 46 south Asians. South Asians were more likely to ask for help but had longer delays in contacting psychiatric services. They were also more dissatisfied with their GPs. A complex interaction of interpersonal and intrapersonal factors influences pathways into help-seeking.
了解就医途径对于规划服务和确定患者的医疗保健需求是必要的。我们着手研究与接触二级保健精神科服务的南亚裔和白人老年患者有关的这些就医途径。在 6 个月的时间里，邀请所有首次或时隔一年以上被转介的 65 岁以上住院患者、日间患者和社区评估患者参加研究，愿意参加的患者将接受访谈。研究了就医途径、全科医生满意度、既往精神病史时间表和疾病信念。此处仅呈现途径和全科医生满意度的研究结果。在 117 名患者中，71 名是白人，46 名是南亚裔。南亚裔更有可能寻求帮助，但与精神科服务联系的延迟时间更长。他们对全科医生的满意度也较低。人际和个人内部因素的复杂相互作用影响着寻求帮助的途径。
