Socio-economic differences in psychiatric in-patient care

被引:40
作者
Lorant, V
Kampfl, D
Seghers, A
Deliège, D
Closon, MC
Ansseau, M
机构
[1] Catholic Univ Louvain, Fac Med, Sch Publ Hlth, B-1200 Brussels, Belgium
[2] Univ Liege, Dept Psychiat & Med Psychol, CHU, Liege, Belgium
[3] Catholic Univ Louvain, Clin St Luc, B-1200 Brussels, Belgium
关键词
socio-economic factors; hospitals; psychiatric; accessibility of health services; assessment; patient outcomes;
D O I
10.1034/j.1600-0447.2003.00071.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: We seek to investigate socio-economic differences in psychiatric in-patient care regarding admission, treatment and outcome. Method: This study is undertaken on a comprehensive and exhaustive psychiatric case register of all psychiatric in-patient care carried out in Belgium in 1997 and 1998 (n =144 754). Results: Lower socio-economic groups were more likely to be compulsorily admitted, to be cared for in a non-teaching or psychiatric hospital, to be admitted in a hospital with unexpectedly long average length of stay and to be admitted to a ward with a more severe case-mix. They were less likely to receive antidepressants and psychotherapies. The improvements in functioning and in symptoms were also less favourable for these groups. The lowest group had a higher risk of dying in the hospital. Conclusion: Psychiatric in-patient care is associated with moderate socio-economic differences in access, treatment and outcome. Further research is needed to clarify the causes of such disparities.
引用
收藏
页码:170 / 177
页数:8
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