Jones R, Goldberg D, Hughes B
Psychol Med. 1980 Aug;10(3):493-505. doi: 10.1017/s0033291700047383.
This study compares the clinical and social outcome for 2 cohorts of patients who had a first admission for schizophrenia 4 years earlier. One cohort was treated in a psychiatric unit attached to a teaching district general hospital (DGH)(T)), while the other was treated at an area mental hospital (AMH) with modern rehabilitation facilities. The clinical outcome for the 2 cohorts was broadly similar, but the DGH(T) imposed less of a strain on relatives, and was associated with less unmet need. The DGH unit tended to have significantly shorter durations of stay for its patients, so that its total hospital costs were less than those for the AMH despite higher unit costs. The cost-benefit analysis shows that, where these particular patients are concerned, the DGH(T) unit is economically superior to the AMH despite the fact that it supports a large teaching staff, and that these economic advantages are accompanied by various non-monetary advantages.
本研究比较了两组4年前首次因精神分裂症入院患者的临床和社会结局。一组在一所隶属于教学区综合医院（DGH）（T）的精神科接受治疗，而另一组在设有现代康复设施的地区精神病院（AMH）接受治疗。两组的临床结局大致相似，但DGH（T）给亲属带来的压力较小，且未满足的需求较少。DGH科室的患者住院时间往往明显更短，因此尽管其单位成本较高，但其总住院费用仍低于AMH。成本效益分析表明，就这些特定患者而言，DGH（T）科室在经济上优于AMH，尽管它要供养大量教学人员，而且这些经济优势还伴随着各种非货币优势。
