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基于医院和社区的精神病学:丹麦和意大利精神科服务的比较研究。

Hospital and community based psychiatry: a comparative study between a Danish and an Italian psychiatric service.

作者信息

Munk-Jørgensen P, Tansella M

出版信息

Int J Soc Psychiatry. 1986 Summer;32(2):6-15. doi: 10.1177/002076408603200202.

Abstract

A Danish (Aarhus) institution-based and an Italian (South-Verona) community-based psychiatric service are compared. The incidence rates are 20/10,000 inhabitants in both areas with more psychotics and fewer neurotics in Aarhus. The admission rate as well as the one year rate of persons in in-patient care are about three times higher in Aarhus. Referrals to day and out-patient care, including home visits, are used 1.5-3.5 times as often in South-Verona, whereas the rates of persons in each of the three types of care are of similar size in the two centres. Geronto-psychiatric disorders are to a greater extent treated within the field of psychiatry in Aarhus. Compulsory admission rates are higher in Aarhus (3.7/10,000 inhabitants) than in South-Verona (1.3/10,000). Admission rates to private hospitals are 9.4/10,000 inhabitants in South-Verona against 3.0/10,000 in Aarhus.

摘要

对丹麦奥胡斯一家基于机构的精神病服务机构和意大利南维罗纳一家基于社区的精神病服务机构进行了比较。两个地区的发病率均为每10000居民中有20例,奥胡斯的精神病患者更多,神经症患者更少。奥胡斯的住院率以及住院患者的一年住院率大约高出三倍。南维罗纳使用日间和门诊护理(包括家访)的转诊频率是奥胡斯的1.5至3.5倍,而两个中心三种护理类型的患者比例相似。老年精神障碍在奥胡斯的精神病学领域得到了更大程度的治疗。奥胡斯的强制住院率(每10000居民中有3.7例)高于南维罗纳(每10000居民中有1.3例)。南维罗纳私立医院的住院率为每10000居民中有9.4例,而奥胡斯为每10000居民中有3.0例。

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