Jacobson A M, Regier D A, Burns B J
Public Health Rep. 1978 May-Jun;93(3):232-9.
Six-month utilization data are presented for the mental health unit of a comprehensive neighborhood health center. Almost 5% of the 16,877 people in Charlestown, Mass., used these services at a rate of 48.7 per 1,000 residents. Nearly all the residents of this Boston neighborhood were white; the median family income was $8,828 annually; and 14% of the families received public assistance. Age, sex, marital status, census tract of residence, and diagnostic factors were quantitatively related to the use of services. Those 0-17 years represented 39.6% of the total caseload and had a utilization rate of 57.0 per 1,000. Boys and women were the biggest users of service, and married adults constituted 47.7% of the adults using the service. About 55% of the patients paid through Medicaid. During the study period 999 diagnoses were recorded for 822 separate patients, or 1.2 diagnoses per patient. Findings from the center's caseload are compared with utilization data for other mental health services and available national data. The study data demonstrate that the health center's goals of providing accessible, family-oriented, comprehensive mental health services that are targeted particularly to the lower socioeconomic groups in the community were largely accomplished.
本文呈现了一个综合性社区健康中心心理健康科室的六个月使用数据。马萨诸塞州查尔斯顿的16,877人中，近5%的人使用了这些服务，使用率为每1000名居民48.7人次。这个波士顿社区的几乎所有居民都是白人；家庭收入中位数为每年8828美元；14%的家庭接受公共援助。年龄、性别、婚姻状况、居住普查区和诊断因素与服务使用存在定量关系。0至17岁的人群占总病例数的39.6%，使用率为每1000人57.0人次。男孩和女性是服务的最大使用者，已婚成年人占使用服务的成年人的47.7%。约55%的患者通过医疗补助计划付费。在研究期间，822名不同患者共记录了999次诊断，即每位患者1.2次诊断。该中心病例数的研究结果与其他心理健康服务的使用数据以及现有的全国数据进行了比较。研究数据表明，该健康中心提供可及的、以家庭为导向的、全面的心理健康服务，尤其针对社区中社会经济地位较低群体的目标基本实现。
