Madsen P A
Afdeling for psykiatrisk demografi, Psykiatrisk Hospital i Arhus.
Ugeskr Laeger. 1995 Mar 27;157(13):1853-7.
In the period 1971-1990 the first admission rate to Danish psychiatric hospitals and wards decreased by approximately 45%. This might reflect the similar decrease in number of available psychiatric beds. Generally, the decrease of first admission rates was larger in the metropolitan area than in the rest of the country. Consequently, the disparity in admission rates between town and country was reduced. This is probably due to the decentralization initiated in the mid-seventies when the counties were made responsible for the psychiatric services in Denmark. Furthermore, changes in morbidity could add to the occurrence of regional variations. Number of available beds has gained increasing importance as a predictor of variations between counties and municipalities whereas the importance of distance to hospital and degree of urbanization has declined. As regards sociodemographic variables special importance should be attached to variables for the amount of social aid and the employment rate in the social and health sector. However, it is generally difficult to determine whether regional variations are due to differences in treatment facilities or morbidity differences.
在1971年至1990年期间，丹麦精神病医院和病房的首次收治率下降了约45%。这可能反映了可用精神病床位数量的类似下降。一般来说，大都市地区首次收治率的下降幅度大于该国其他地区。因此，城乡收治率的差距缩小了。这可能是由于70年代中期开始的权力下放，当时丹麦各县负责精神病服务。此外，发病率的变化可能会导致地区差异的出现。可用床位数作为各县和各市镇之间差异的预测指标变得越来越重要，而距离医院的远近和城市化程度的重要性则有所下降。关于社会人口统计学变量，应特别重视社会援助金额和社会及卫生部门就业率的变量。然而，一般很难确定地区差异是由于治疗设施的差异还是发病率的差异。
