Wolff N, Henderson P R, MacAskill R L, Rosenstein M J, Milazzo-Sayre L J, Larson D, Manderscheid R
University of Wisconsin, Madison, WI 53706.
Soc Sci Med. 1989;28(4):323-31. doi: 10.1016/0277-9536(89)90033-6.
This paper analyzes the patterns of clinical treatments prescribed to patients diagnosed with schizophrenia who were admitted to state and county mental hospitals, private for-profit psychiatric hospitals, and private nonprofit psychiatric hospitals in July 1980. Treatment patterns were specified by examining the distribution of treatment types provided to patients over a 3-month period through standard tabular arrays and matrix analysis that holds constant the number of treatment types received by the patients. Data for this study are based on nationwide patient sample surveys and facility enumerations conducted in 1980 by the Survey and Reports Branch, National Institute of Mental Health. Clear differences and similarities emerged among the three types of hospitals in terms of the number and type of treatments provided to patients with schizophrenia. In general, patients with schizophrenia admitted to private psychiatric hospitals received a more comprehensive care regimen (generally inclusive of individual therapy) than similarly diagnosed patients admitted to state and county mental hospitals; private nonprofit psychiatric hospitals had marginally discernible treatment patterns from private for-profit psychiatric hospitals, especially with respect to assignment of group and self-care skill training.
本文分析了1980年7月入住州立和县立精神病院、私立营利性精神病院以及私立非营利性精神病院的精神分裂症患者所接受的临床治疗模式。通过标准表格阵列和矩阵分析，研究了患者在3个月内接受的治疗类型分布，以此确定治疗模式，该分析使患者接受的治疗类型数量保持不变。本研究的数据基于美国国立精神卫生研究所调查与报告处1980年进行的全国患者抽样调查和机构普查。在为精神分裂症患者提供的治疗数量和类型方面，三类医院呈现出明显的差异和相似之处。总体而言，入住私立精神病院的精神分裂症患者比入住州立和县立精神病院的同类诊断患者接受了更全面的护理方案（通常包括个体治疗）；私立非营利性精神病院与私立营利性精神病院的治疗模式略有不同，尤其是在团体治疗和自我护理技能培训的分配方面。
