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衡量公共精神病住院人数与失业率上升之间的关系。

Measuring the relationship of public psychiatric admissions to rising unemployment.

作者信息

Ahr P R, Gorodezky M J, Cho D W

出版信息

Hosp Community Psychiatry. 1981 Jun;32(6):398-401. doi: 10.1176/ps.32.6.398.

DOI:10.1176/ps.32.6.398
PMID:7262844
Abstract

The results of a correlational analysis of the relationship between monthly state unemployment statistics and admissions to eight Missouri Department of Mental Health facilities are presented. Over a period of 100 months, readmissions, rather than new admissions, showed the strongest positive relationship to unemployment. A second study-a retrospective analysis of admissions before and after a major increase in unemployment-supported the results of the correlational analysis. A third analysis of subset of the original sample, comprised of patients unemployed at the time of admission, suggests that public facilities are more accessible to the unemployed during times of economic adversity. The findings on the relationship of readmission rates to the state of the economy have important implications for policy on deinstitutionalization. The planning, development, and evaluation of community care programs should include consideration of employment data.

摘要

本文呈现了对密苏里州每月失业统计数据与该州八个心理健康机构收治情况之间关系的相关性分析结果。在100个月的时间里,再次入院情况而非首次入院情况与失业率呈现出最强的正相关关系。第二项研究——对失业率大幅上升前后收治情况的回顾性分析——支持了相关性分析的结果。对原始样本中入院时失业患者子集的第三次分析表明,在经济困难时期,失业者更容易进入公共机构。再入院率与经济状况之间关系的研究结果对非机构化政策具有重要意义。社区护理项目的规划、发展和评估应考虑就业数据。

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1
Measuring the relationship of public psychiatric admissions to rising unemployment.衡量公共精神病住院人数与失业率上升之间的关系。
Hosp Community Psychiatry. 1981 Jun;32(6):398-401. doi: 10.1176/ps.32.6.398.
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A conceptual approach to deinstitutionalization.去机构化的一种概念性方法。
Hosp Community Psychiatry. 1978 Sep;29(9):573-8. doi: 10.1176/ps.29.9.573.
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Projecting inpatient admissions to state facilities in the 1990s.预测20世纪90年代州立医疗机构的住院人数。
Hosp Community Psychiatry. 1989 Jul;40(7):747-9. doi: 10.1176/ps.40.7.747.
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Reforming the state hospital in a unified care system.在统一医疗体系中对国立医院进行改革。
Hosp Community Psychiatry. 1982 Sep;33(9):722-8. doi: 10.1176/ps.33.9.722.
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Deinstitutionalization and the survival of the state hospital.非机构化与州立医院的存续
Hosp Community Psychiatry. 1983 Jul;34(7):616-22. doi: 10.1176/ps.34.7.616.
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[The significance of unemployment for admissions to a psychiatric department].[失业对精神科住院治疗的意义]
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Service utilization and cost of community care for discharged state hospital patients: a 3-year follow-up study.州立医院出院患者社区护理的服务利用情况及成本:一项为期3年的随访研究。
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Who really treats the severely impaired young adult patient? A comparison of treatment settings.究竟谁来治疗严重受损的年轻成年患者?治疗环境的比较。
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Diversion of admissions from state hospitals: a reexamination.公立医院入院分流情况的重新审视
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Rapid and frequent psychiatric readmissions: associated factors.快速且频繁的精神科再入院:相关因素。
Int J Psychiatry Clin Pract. 2017 Nov;21(4):271-276. doi: 10.1080/13651501.2017.1324037. Epub 2017 May 30.

引用本文的文献

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Economic downturns and population mental health: research findings, gaps, challenges and priorities.经济衰退与人口心理健康:研究发现、差距、挑战和优先事项。
Psychol Med. 2011 Jul;41(7):1343-8. doi: 10.1017/S003329171000173X. Epub 2010 Sep 14.
2
The impact of unemployment on health: a review of the evidence.失业对健康的影响:证据综述。
CMAJ. 1995 Sep 1;153(5):529-40.
3
Effects of unemployment on mental and physical health.失业对身心健康的影响。
Am J Public Health. 1985 May;75(5):502-6. doi: 10.2105/ajph.75.5.502.
4
"I'm just not right": the physical health of the unemployed.“我就是感觉不对劲”:失业者的身体健康状况
Br Med J (Clin Res Ed). 1985 Dec 7;291(6509):1626-9. doi: 10.1136/bmj.291.6509.1626.
5
Social class and psychiatric inpatient care: a twenty-five year perspective.
Soc Psychiatry. 1986;21(3):106-12. doi: 10.1007/BF00582679.
6
Job-loss and morbidity: the influence of job-tenure and previous work history.失业与发病率:工作年限及既往工作经历的影响
J R Coll Gen Pract. 1986 Dec;36(293):560-3.