The ecology of mental health care in Taiwan

被引:8
作者
Chou, Li-Fang [1 ]
机构
[1] Natl Chengchi Univ, Dept Publ Finance, Taipei 11623, Taiwan
关键词
delivery of health care; mental health services; national health programs; prevalence;
D O I
10.1007/s10488-005-0028-9
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper applied the ecology model of general medical care by White et al. to analysis of mental health services utilization within the National Health Insurance in Taiwan. The ambulatory and inpatient claims of a 200,000-person cohort in 2001 were analyzed. The yearly and monthly prevalence estimates included psychotropic drug prescription, diagnosis of mental disorders, psychiatric ambulatory visit and admission, community psychiatric rehabilitation, and certificate of chronic psychosis. The results revealed one-fourth of people had received psychotropic drugs during the year, mostly from non-psychiatrists. Besides, the elderly might be excessively exposed to psychotropic drugs, and community rehabilitation programs were underutilized.
引用
收藏
页码:492 / 498
页数:7
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