The service utilization by patients with affective and neurotic disorders in two defined populations of south Verona in Italy and south Manchester in England was compared.
The composition and function of the two community-based psychiatric services, and the sociodemographic characteristics of the two centers are described and related to epidemiologically based data on service use in the community, outpatient clinic, day hospital and inpatient care.
The results suggest that close liaison with primary care in south Manchester results in more referrals, and therefore higher treated incidence and prevalence rates.
The close integration between hospital and community staff in south Verona is associated with greater permeability of the filter between inpatient and community care, indicated by higher admission rates for patients known to the service, and shorter length of inpatient stay (only for affective disorders) in south Verona compared with south Manchester.
Mots-clés Pascal : Trouble humeur, Névrose, Système santé, Etude comparative, Italie, Europe, Royaume Uni, Traitement communautaire, Psychiatrie communautaire, Organisation santé, Utilisation, Service santé, Santé mentale, Homme
Mots-clés Pascal anglais : Mood disorder, Neurosis, Health system, Comparative study, Italy, Europe, United Kingdom, Community treatment, Community psychiatry, Public health organization, Use, Health service, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0382033
Code Inist : 002B18H05B. Création : 01/03/1996.