Tansella M, Williams P, Balestrieri M, Bellantuono C, Martini N
J Affect Disord. 1986 Jul-Aug;11(1):73-9. doi: 10.1016/0165-0327(86)90063-7.
Using two systems which routinely record information about the management of psychiatric disorders in the community (a drug prescription monitoring system and a psychiatric case register), a parallel study was conducted in South Verona on antidepressant prescriptions written by general practitioners (GPs) and on contacts for affective disorders with specialized psychiatric services, in 1983 and 1984. The extent of patient contact for affective disorders was approximately ten times greater at the GP level (in one year about 150 antidepressant prescriptions per 1000 adult inhabitants) than at the out-patient/community psychiatric service level. Similarly, the extent of patient contact at the latter level was approximately ten times greater than at the in-patient level. Patients with a diagnosis of affective disorder accounted for about 20% of the total number of patients contacting the specialized services in one year. The proportions of patients admitted to hospital, among those in contact with these services and assigned a diagnosis of depressive neurosis or a diagnosis of affective psychosis, were 34 and 33% (in 1983 and 1984) and 49 and 50% (in 1983 and 1984), respectively. There was a clear correspondence between monthly fluctuations in the extent of care for affective disorders provided at the two levels in 1984, but not in 1983.
利用两个常规记录社区精神疾病管理信息的系统（一个药物处方监测系统和一个精神病病例登记系统），1983年和1984年在南维罗纳针对全科医生（GP）开具的抗抑郁药处方以及与专门精神科服务机构的情感障碍接触情况进行了一项平行研究。情感障碍患者与全科医生的接触程度（一年中每1000名成年居民约有150张抗抑郁药处方）大约是与门诊/社区精神科服务机构接触程度的十倍。同样，后者的患者接触程度大约是住院患者接触程度的十倍。被诊断为情感障碍的患者约占一年中接触专门服务机构的患者总数的20%。在与这些服务机构接触并被诊断为抑郁性神经症或情感性精神病的患者中，住院患者的比例在1983年和1984年分别为34%和33%，以及49%和50%。1984年两个层面提供的情感障碍护理程度的月度波动之间存在明显对应关系，但1983年不存在这种关系。
