Saarento O, Oiesvold T, Göstas G, Christiansen L W, Lindhardt A, Lönnerberg O, Sandlund M, Hansson L
Department of Psychiatry, University of Oulu, Finland.
Soc Psychiatry Psychiatr Epidemiol. 1996 Sep;31(5):259-65. doi: 10.1007/BF00787918.
As part of a Nordic Comparative Study on Sectorized Psychiatry, accessibility of psychiatric services and degree of urbanization in seven catchment areas were related to treated incidence. One-year treated incidence cohorts were used. Accessibility was assessed according to referral practice, existence of a round the clock emergency service and geographical location of the services. Accessibility was surprisingly weakly associated with treated incidence. Easy access to the psychiatric services was not related to a high treated incidence of less severe psychiatric problems at the expense of patients suffering from severe illness. Geographical distance to the services did not predict the demand for services. A positive correlation was found between the degree of urbanization and treated incidence of psychoses but not of other diagnostic groups.
作为北欧精神病学部门化比较研究的一部分，七个集水区的精神科服务可及性和城市化程度与治疗发病率相关。使用了一年期治疗发病率队列。根据转诊实践、全天候紧急服务的存在情况以及服务的地理位置评估可及性。令人惊讶的是，可及性与治疗发病率的关联较弱。精神科服务的便捷获取与不太严重精神疾病的高治疗发病率无关，而以重症患者为代价。到服务机构的地理距离并不能预测服务需求。城市化程度与精神病的治疗发病率之间存在正相关，但与其他诊断组无关。
