Lucas B, Audini B, Chisholm D, Knapp M, Lelliott P
Soc Psychiatry Psychiatr Epidemiol. 1998 Oct;33(10):497-500. doi: 10.1007/s001270050085.
This study examines the effect of managing agency (local authority, private or voluntary) on the use of other health and social care services by residents in mental health hostels and group homes with different levels of staffing in England and Wales. The sample comprised 1323 residents in 275 facilities in eight districts. The measures of service use were number of days in hospital and number of other service contacts. There were highly significant differences between facilities with similar levels of staffing managed by different agencies. Residents in the voluntary sector used fewer community services overall; residents in low-staffed local authority facilities used more services than those in similar facilities managed by other agencies. These differences were not easily explained by differences in the social or clinical characteristics of residents. This suggests that there may be organisational factors, e.g. hostel staff, knowledge of services, which influence access to and use of community services.
本研究考察了在英格兰和威尔士，不同人员配备水平的心理健康招待所和集体之家的管理机构（地方当局、私人或志愿机构）对居民使用其他健康和社会护理服务的影响。样本包括八个地区275个机构中的1323名居民。服务使用的衡量指标为住院天数和其他服务接触次数。由不同机构管理的人员配备水平相似的机构之间存在高度显著差异。总体而言，志愿部门的居民使用社区服务较少；人员配备不足的地方当局机构的居民比由其他机构管理的类似机构的居民使用更多服务。居民的社会或临床特征差异并不能轻易解释这些差异。这表明可能存在组织因素，例如招待所工作人员、服务知识，这些因素会影响社区服务的获取和使用。
