Babigian H M
Arch Gen Psychiatry. 1977 Apr;34(4):385-94. doi: 10.1001/archpsyc.1977.01770160019001.
The impact of community mental health centers on the utilization of psychiatric services in Monroe County, New York, was evaluated by means of data from the Monroe County Psychiatric Case Register. The catchment areas that received centers served as their own controls. In addition, yearly utilization rates were compared for areas that obtained centers with those remaining centerless. Utilization rates increased markedly in catchment areas with centers, while the percentage of patients seen at the Rochester Psychiatric Center decreased from all catchment areas. Community mental health centers increased the utilization rates of the poor, children, and young adults, while the treatment needs of patient subgroups such as alcoholics, drug addicts, and the elderly were last to be addressed. The data do not evaluate issues such as the character, quality, and effectiveness of care.
通过门罗县精神病病例登记处的数据，对纽约州门罗县社区心理健康中心对精神科服务利用情况的影响进行了评估。接受中心服务的集水区作为自身对照。此外，还比较了设立了中心的地区与仍无中心地区的年度利用率。有中心的集水区利用率显著提高，而罗切斯特精神病中心在所有集水区就诊的患者比例下降。社区心理健康中心提高了贫困者、儿童和年轻人的利用率，而酗酒者、吸毒者和老年人等患者亚组的治疗需求则最后得到解决。这些数据未评估护理的性质、质量和有效性等问题。
