Estimating local-area needs for psychiatric care: a case study
| Autor: | J. Cournoyer, I. Van Haaster, Alain Lesage, I. Uribe, Jose Fabian, C.-H. Chang, V. Tourjman, Doris Clerc |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cross-sectional study Comorbidity Health care rationing 03 medical and health sciences 0302 clinical medicine Patient Admission Catchment Area Health Medicine Humans 030212 general & internal medicine Human resources Psychiatry Referral and Consultation Aged Health Services Needs and Demand Health Care Rationing Models Statistical business.industry Public health Incidence Mental Disorders Quebec Variance (accounting) Middle Aged medicine.disease Community Mental Health Services 030227 psychiatry Substance abuse Psychiatry and Mental health Cross-Sectional Studies Case-Control Studies Utilization Review Female Catchment area business Social status |
| Zdroj: | The British journal of psychiatry : the journal of mental science. 169(1) |
| ISSN: | 0007-1250 |
| Popis: | BackgroundDifferent approaches to estimating local catchment-area needs for psychiatric services are illustrated and compared.MethodData from an epidemiological morbidity survey of a random sample of 496 adults were available, as were actual service utilisation rates. Four types of utilisation were modelled (i.e. overall out-patient, in-patient, emergency clinic) using social indicators available from Statistics Canada census-tract data. Finally, a case–control study compared out-patients from a deprived and an affluent catchment area, matched case by case for primary diagnosis, age, sex and residential status (n=52).ResultsModelling proved highly predictive of utilisation, the overall-use model accounting for 73% of the variance. The case–control study indicated a higher rate of Axis II traits, substance abuse and needs for social care in the deprived catchment area.ConclusionsResource allocation based on the social indicators modelling method was more consistent with sensible distribution of human resources. None of the methods, however, appear to reflect adequately the severity of caseloads evidenced in the case–control study. |
| Databáze: | OpenAIRE |
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