Saarento O, Hansson L, Sandlund M, Göstas G, Kastrup M, Muus S, Nieminen P, Zandrén T, Oiesvold T
Department of Psychiatry, University of Oulu, Finland.
Soc Psychiatry Psychiatr Epidemiol. 1996 Nov;31(6):327-35. doi: 10.1007/BF00783421.
As a part of a Nordic comparative study on sectorized psychiatry, utilization of inpatient care was related to resources and dynamic qualities of psychiatric services in seven catchment areas in four Nordic countries. One-year treated incidence cohorts were used. Each patient was followed for 1 year after first contact with the psychiatric service. Data were collected concerning number of beds and staff, number of long-term patients and turnover rate of patients in inpatient care. Findings gave some support to the earlier reports that the utilization of inpatient care is determined by the supply of available beds. Highly staffed community services did not themselves reduce the use of inpatient services, but availability of day care services seemed to reduce utilization of inpatient care among psychotic patients.
作为北欧精神病学部门化比较研究的一部分，在北欧四个国家的七个集水区，住院护理的利用情况与精神科服务的资源和动态质量相关。采用了一年期治疗发病率队列。每位患者在首次接触精神科服务后随访1年。收集了有关病床和工作人员数量、长期患者数量以及住院护理患者周转率的数据。研究结果为早期报告提供了一些支持，即住院护理的利用情况由可用病床的供应决定。人员配备充足的社区服务本身并未减少住院服务的使用，但日托服务的可获得性似乎降低了精神病患者的住院护理利用率。
