Schrøder P S, Aagaard J
Aalborg Psykiatriske Sygehus, afdeling B.
Ugeskr Laeger. 1998 Sep 7;160(37):5335-8.
The aim of the present study was to illustrate the effects of community-based psychiatry. The catchment area was divided into three homogeneous districts, East, North and West. Teams were established on 1.9. 1990, 1.10.91 and 1.5.1992, respectively. Social, diagnostic and treatment related data were gathered from two cross-sectional investigations (I: February 1992 and II: February 1993) and from in-patients and out-patients files. In cross-section I a majority of long-term ward patients and hospital-based employment offers was found in the district where the community district team had not yet been established. In the district where the first community district team was established most primary target patients were treated. In cross-section II the hospital-based psychiatric service were more homogeneously distributed between the districts. The establishment of community-based psychiatric teams resulted in new referrals, and increasing numbers of patients becoming attached to the psychiatric teams, but crowding and use of compulsory measures in hospital also increased.
本研究的目的是阐明社区精神病学的效果。集水区被划分为三个同质区域,即东部、北部和西部。团队分别于1990年9月1日、1991年10月1日和1992年5月1日成立。社会、诊断和治疗相关数据来自两项横断面调查(调查一:1992年2月;调查二:1993年2月)以及住院患者和门诊患者档案。在横断面调查一中,在尚未设立社区区域团队的区域发现了大多数长期住院患者和基于医院的就业机会。在首个社区区域团队设立的区域,大多数主要目标患者得到了治疗。在横断面调查二中,基于医院的精神科服务在各区域之间的分布更为均匀。社区精神科团队的设立带来了新的转诊患者,且越来越多的患者加入了精神科团队,但医院的拥挤情况和强制措施的使用也有所增加。