Miller M G
Psychol Med. 1979 Nov;9(4):759-63. doi: 10.1017/s0033291700034085.
Analysis of DHSS statistics from the Mental Health Enquiry for 1975 indicates that, contrary to some predictions, district general hospital psychiatric units (DGHU) are assuming a proportionate share of the burden of hospital care for most groups of mentally ill individuals. Comparisons of admissions to mental illness hospitals and DGHUs indicate no major differences in most categories of patient characteristics (age, sex, order of admission and diagnosis); where differences do exist, they appear to be decreasing. Concern that DGHUs might 'cream off' patients with less serious illnesses, with a resultant 'two-tier' system of mental hospital care, would thus appear to be unwarranted.
对1975年精神健康调查中卫生与社会保障部(DHSS)统计数据的分析表明,与一些预测相反,地区综合医院精神科病房(DGHU)正在承担起大多数精神疾病患者群体在医院护理负担中应有的份额。对精神病医院和地区综合医院精神科病房入院情况的比较表明,在大多数患者特征类别(年龄、性别、入院顺序和诊断)上没有重大差异;即便存在差异,这些差异似乎也在缩小。因此,那种认为地区综合医院精神科病房可能会“挑选”病情较轻的患者,从而导致精神科医院护理出现“双层”体系的担忧,似乎是没有根据的。