Lang F H, Forbes J F, Murray G D, Johnstone E C
Department of Psychiatry, Royal Edinburgh Hospital.
Br J Psychiatry. 1997 Aug;171:159-64. doi: 10.1192/bjp.171.2.159.
The aim of this study was to provide information on patients current service use which could inform future decisions on service planning and resource allocation.
Individuals with a diagnosis of schizophrenia, who had received in-patient care in the previous five years, were identified from the Lothian Case Register. Information was obtained from 193 subjects. Patients' service use over a six-month period was examined. The costs incurred in service provision were determined.
Patients differed markedly in their use of services. This was not found to be related to their mental state. Average care costs were high. In-patient care accounted for most of the overall expenditure.
There is considerable variation in the services used by patients with schizophrenia and in the costs incurred in service provision. When planning services it is therefore important that detailed information on the patient population is available if resources are to be allocated cost-effectively.
本研究旨在提供有关患者当前服务使用情况的信息，以便为未来的服务规划和资源分配决策提供参考。
从洛锡安病例登记册中识别出在过去五年中接受过住院治疗的精神分裂症患者。从193名受试者那里获取了信息。对患者六个月期间的服务使用情况进行了检查。确定了提供服务所产生的费用。
患者在服务使用方面存在显著差异。这与他们的精神状态无关。平均护理成本很高。住院护理占总支出的大部分。
精神分裂症患者使用的服务以及提供服务所产生的费用存在很大差异。因此，在规划服务时，如果要有效地分配资源，掌握患者群体的详细信息非常重要。
