an der Heiden W, Krumm B
Eur Arch Psychiatry Neurol Sci. 1985;235(1):26-31. doi: 10.1007/BF00380965.
The implementation of community mental health care for psychiatric patients in Mannheim, an industrial city of approximately 300,000 inhabitants, poses questions concerning the impact of outpatient treatment on the probability of rehospitalization. For this purpose the use of extramural facilities by a group of 148 patients with a diagnosis of schizophrenia was studied over a period of 18 months. Based on a model of utilization that allows for the removal of confounding effects the statistical analysis reveals that outpatient contacts with psychiatrists in practice or with an outpatient clinic indeed reduces time in hospital and also improves the psychopathological status of the patients.
在拥有约30万居民的工业城市曼海姆，为精神病患者实施社区精神卫生保健引发了关于门诊治疗对再次住院可能性影响的问题。为此，对一组148名诊断为精神分裂症的患者在18个月期间使用院外设施的情况进行了研究。基于一个能够消除混杂效应的利用模型，统计分析表明，在实际中与精神科医生或门诊诊所进行门诊接触确实减少了住院时间，并且还改善了患者的精神病理状态。
