精神科医生罢工对紧急精神科转诊及住院的影响。

Effects of a psychiatrists' strike on emergency psychiatric referral and admissions.

作者信息

Schlosberg A, Zilber N, Avraham F

出版信息

Soc Psychiatry Psychiatr Epidemiol. 1989 Mar;24(2):84-7. doi: 10.1007/BF01788631.

Abstract

This is a report on the effects of a psychiatrists' strike in Israel on emergency psychiatric referrals and admissions from two catchment areas. One had comprehensive psychiatric services, the other did not. Three periods were compared - before, during and after the strike. During the strike period, overall referrals to the emergency room decreased by 3.9%. A significant 15.8% decrease in referrals was registered in the comprehensive psychiatric service area, and an 11.4% increase in referrals in the other catchment area. Although no increase was seen in total emergency admissions during the strike, involuntary admissions increased by 21.6%, within the catchment area which did not have a comprehensive service, whereas within the area with the comprehensive service there was a significant decrease of 33% in involuntary admissions. The impact of these services on emergency referrals and admissions, especially during the strike, is discussed.

摘要

这是一份关于以色列精神病医生罢工对来自两个集水区的紧急精神病转诊和住院情况影响的报告。其中一个集水区有全面的精神科服务，另一个则没有。研究比较了三个时期——罢工前、罢工期间和罢工后。在罢工期间，急诊室的总体转诊量下降了3.9%。在有全面精神科服务的集水区，转诊量显著下降了15.8%，而在另一个集水区，转诊量增加了11.4%。虽然罢工期间急诊住院总数没有增加，但在没有全面服务的集水区，非自愿住院人数增加了21.6%，而在有全面服务的集水区，非自愿住院人数显著下降了33%。本文讨论了这些服务对紧急转诊和住院情况的影响，尤其是在罢工期间。