Häfner H, an der Heiden W
Schizophr Bull. 1986;12(1):26-51. doi: 10.1093/schbul/12.1.26.
Psychiatric case registers have become important instruments for epidemiological research and for the evaluation of care provided for persons suffering from schizophrenia. Under the condition of a sufficient provision of care, case registers permit relatively reliable estimates of "treated" incidence and prevalence, and enable the investigation of associations between morbidity risks, disease courses, and variables such as ecological, social, and occupational factors. The linkage with twin, adoption, and birth registers provides new opportunities for the investigation of the impact of genetic versus environmental factors on the probability of becoming ill with schizophrenia. On the basis of long-term utilization figures, case registers enable a valid measure for controlling utilization, effectiveness, quality, and costs of care. Because case registers take demographic and regional factors into account, they enable better planning of mental health services--a task that grows more important with the shift from hospital-based to community-based treatment, especially for the chronic patients.
精神病病例登记册已成为流行病学研究以及评估为精神分裂症患者提供护理情况的重要工具。在提供充分护理的情况下，病例登记册可对“接受治疗的”发病率和患病率进行相对可靠的估计，并有助于调查发病风险、疾病病程与生态、社会和职业因素等变量之间的关联。与双胞胎、收养和出生登记册的关联为调查遗传因素与环境因素对患精神分裂症可能性的影响提供了新机会。基于长期使用数据，病例登记册能够对护理的使用情况、有效性、质量和成本进行有效衡量。由于病例登记册考虑了人口统计学和区域因素，它们有助于更好地规划心理健康服务——随着从基于医院的治疗向基于社区的治疗转变，这项任务变得更加重要，尤其是对于慢性病患者而言。
