Wong M T, Pan P C
Institute of Psychiatry, London, United Kingdom.
Int Psychogeriatr. 1994 Fall;6(2):199-208. doi: 10.1017/s1041610294001766.
In order to analyze whether the referral system and nature of care exert any effect on the characteristics of patients, subjects aged 60 or above attending three medical centers on the Hong Kong Island between August and December 1990 were studied with respect to their age, sex, and psychiatric diagnosis. Psychiatric diagnoses were made in 98% of subjects at the psychogeriatric assessment service (PAC) (predominantly chronic organic brain syndrome), in 79.6% at the university psychiatric unit (mainly acute psychiatric problems, substance abuse, and deliberate self-harm), and in 20% at the general outpatient clinic (largely sleep and anxiety-related disorders). There was overrepresentation of the very old (above 80) and underutilization of counseling service at PAC. In Hong Kong, the psychogeriatric needs of the very old and of those with minor emotional disturbances associated with aging, retirement, and bereavement deserve reassessment.
为分析转诊系统和护理性质是否对患者特征产生任何影响，对1990年8月至12月期间在香港岛三家医疗中心就诊的60岁及以上受试者的年龄、性别和精神科诊断进行了研究。在老年精神科评估服务（PAC）中，98%的受试者进行了精神科诊断（主要是慢性器质性脑综合征）；在大学精神科病房，79.6%的受试者进行了诊断（主要是急性精神问题、药物滥用和蓄意自残）；在普通门诊诊所，20%的受试者进行了诊断（主要是与睡眠和焦虑相关的障碍）。PAC存在高龄（80岁以上）患者比例过高以及咨询服务利用不足的情况。在香港，高龄老人以及那些与衰老、退休和丧亲相关的轻微情绪困扰者的老年精神科需求值得重新评估。
