de Girolamo G, Mors O, Rossi G, Grandi L, Ardigo' W, Munk-Jørgensen P
Servizi Psichiatrici, U.S.S.L., Cremona, Italy.
Int J Soc Psychiatry. 1988 Winter;34(4):248-57. doi: 10.1177/002076408803400402.
Epidemiological comparisons carried out in Italian settings regarded very different areas. In this paper, we investigate the effects on the hospital activity of two different organizational models of care in two neighbouring areas in Northern Italy, Cremona and Mantua, very similar in sociodemographic features. Cremona is hospital oriented, while Mantua has well developed community services. All the patients of the catchment areas admitted during 1986 were studied. Age distribution for males, marital status, education and percentage of employed were very similar in the two samples. However, age distribution and mean age at the time of the first ever psychiatric admission for females were different, as well as the percentage of patients living alone and the percentage of patients discharged home. But the cogent finding was the number of admissions, much higher in Cremona than in Mantua, especially for some age groups. Some explanations of this strong difference, regarding two neighbouring and similar areas, are discussed.
在意大利不同地区进行的流行病学比较涉及非常不同的区域。在本文中，我们调查了意大利北部两个相邻地区克雷莫纳和曼图亚两种不同护理组织模式对医院活动的影响，这两个地区的社会人口特征非常相似。克雷莫纳以医院为导向，而曼图亚的社区服务发展良好。对1986年期间收治的所有集水区患者进行了研究。两个样本中男性的年龄分布、婚姻状况、教育程度和就业百分比非常相似。然而，女性首次精神科入院时的年龄分布和平均年龄不同，独居患者的百分比和出院回家患者的百分比也不同。但有说服力的发现是入院人数，克雷莫纳的入院人数远高于曼图亚，尤其是在某些年龄组。本文讨论了对这两个相邻且相似地区存在这种巨大差异的一些解释。
