Fowler D R, Mayfield D G
Dis Nerv Syst. 1977 May;38(5):314-7.
The effect of financial requirements for admission on the delivery of psychiatric treatment services was studied by comparing all patients admitted to the psychiatric services of a public and a private general hospital, serving geographically similar areas. Patients admitted to these two services (both staffed by the same Department of Psychiatry) were compared in a variety of factors relating to admission determinants, diagnosis, length of hospitalization, and type of treatment. The two patient groups differed in a number offactors, including presenting problems, diagnoses, and.psychological concept of their illnesses. The public hospital patients were less likely to receive somatic treatments (especially psychotropic drugs) and more likely to be hospitalized for longer periods than were the private hospital patients. These findings, although inconclusive because of social class, age, and sex variables, suggest that financial requirements for admission affect the intensity and expeditiousness of the treatment.
通过比较一家公立医院和一家私立综合医院精神科收治的所有患者，研究了入院财务要求对精神科治疗服务提供的影响，这两家医院服务的地理区域相似。对这两项服务（均由同一精神科负责）收治的患者在与入院决定因素、诊断、住院时间和治疗类型相关的各种因素方面进行了比较。两组患者在一些因素上存在差异，包括呈现的问题、诊断以及对自身疾病的心理认知。与私立医院患者相比，公立医院患者接受躯体治疗（尤其是精神药物）的可能性较小，住院时间更长。尽管由于社会阶层、年龄和性别变量，这些发现尚无定论，但表明入院财务要求会影响治疗的强度和速度。
