Randhawa J, Riley R
Health Statistics Division, Statistics Canada, Ottawa.
Health Rep. 1996 Spring;7(4):55-61, 59-65.
The shift toward greater use of general hospitals for the treatment of mental disorders reflects the tendency to admit patients with the most serious diagnoses to psychiatric hospitals. However, admissions to both types of institution now tend to involve more serious cases than in early 1980s. To some extent, the increase in the number of patient-days provided for mental disorders, despite declining separation rates, is attributable to the time required for the treatment of disorders such as schizophrenia and affective psychoses. There is also growing emphasis on community care. Increasingly, mental disorders are treated on an outpatient basis without admission to hospital. The substantial annual fluctuations in the national number of separations-as many as 5,000 or 6,000 from one year to the next-may be due to the development of alternative facilities such as community health clinics. The opening of such a facility in one province could have noticeable impact on national figures on hospitalization for mental disorders.
越来越多地利用综合医院来治疗精神障碍,这反映出将诊断最为严重的患者收治到精神病医院的趋势。然而,现在这两类机构收治的病例往往比20世纪80年代初更为严重。在一定程度上,尽管分离率下降,但为精神障碍患者提供的住院天数增加,这归因于治疗精神分裂症和情感性精神病等疾病所需的时间。对社区护理的重视也在日益增加。越来越多的精神障碍患者在门诊接受治疗而无需住院。全国分离人数每年大幅波动——一年与下一年之间相差多达5000或6000人——这可能是由于社区健康诊所等替代设施的发展。在一个省份开设这样一个设施可能会对全国精神障碍住院数据产生显著影响。