Gillis L S, Sandler R, Jakoet A, Elk R
S Afr Med J. 1986 Dec 6;70(12):731-4.
A detailed cross-cultural analysis was carried out of demographic, social, family and diagnostic variables responsible for, or associated with, the admission of 460 sequentially admitted patients to an area psychiatric hospital (Valkenberg Hospital). All patients were socio-economically disadvantaged compared with the population from which they were drawn and socio-economic factors played a significant part in admission. Larger proportions of coloured and black schizophrenics and substance abusers were admitted, and this is related to socio-economic conditions and the fact that the population generally are younger. There were indications that the period of inpatient stay, particularly for coloured and black patients, was too short in many cases for meaningful preparation for discharge, and that supervision after discharge was inadequate. Treatment of the type offered by this hospital appears largely to achieve the diminution or control of aberrant or difficult behaviour and symptoms while functional impairment is little improved.
对460名连续入住某地区精神病院（瓦尔肯贝格医院）的患者的人口统计学、社会、家庭和诊断变量进行了详细的跨文化分析，这些变量是导致患者入院或与入院相关的因素。与所在人群相比，所有患者在社会经济方面都处于不利地位，社会经济因素在入院过程中起到了重要作用。有色人种和黑人精神分裂症患者及药物滥用者的入院比例更高，这与社会经济状况以及该人群普遍较为年轻这一事实有关。有迹象表明，住院时间，尤其是有色人种和黑人患者的住院时间，在许多情况下过短，无法为出院做好有意义的准备，而且出院后的监管也不足。该医院提供的治疗类型似乎在很大程度上实现了对异常或困难行为及症状的减轻或控制，而功能损害几乎没有得到改善。
