Hansson L, Oiesvold T, Göstas G, Kastrup M, Lönnerberg O, Saarento O, Sandlund M
Department of Psychiatry, University of Lund, Sweden.
Acta Psychiatr Scand. 1995 Jan;91(1):41-7. doi: 10.1111/j.1600-0447.1995.tb09740.x.
Comparative studies relating characteristics of psychiatric services to rates of treated prevalence are scarce. As part of a Nordic comparative study on sectorized psychiatry, a point-prevalence study was performed in 5 sectorized psychiatric services with comprehensive service facilities for a defined population under responsibility. The rates of treated prevalence on a census day were related to a number of characteristics of the respective services and to accessibility of care. The results showed a great variation in one-day point prevalence in the 5 services, with almost fourfold differences. There were also marked differences in the diagnostic distribution of the cohorts. A positive correlation was found between number of beds and point prevalence, measured both as total point prevalence and impatient prevalence. The rates of beds and psychiatrists were most strongly related to the prevalence of patients with organic disorders and functional psychoses. A closed referral system was associated with a lower level of treated prevalence.
将精神科服务特征与治疗患病率相关的比较研究很少。作为北欧部门化精神病学比较研究的一部分，对5个部门化精神科服务机构进行了一项时点患病率研究，这些机构为特定责任人群提供全面的服务设施。普查日的治疗患病率与各服务机构的一些特征以及医疗可及性相关。结果显示，这5个服务机构的单日时点患病率差异很大，相差近四倍。各队列的诊断分布也存在显著差异。床位数量与时点患病率之间存在正相关，以总时点患病率和住院患病率衡量均如此。床位和精神科医生的比例与器质性障碍和功能性精神病患者的患病率关系最为密切。封闭式转诊系统与较低的治疗患病率相关。
