This article presents findings from the first 2 years of a community-based multidisciplinary open access service in an urban area.
Eleven hundred and twenty-one referrals were received for 971 patients.
Twenty-three per cent of all community referrals were made by non-traditional agencies, of which 90% were found to suffer from a formal mental disorder.
For the whole sample, dementia (40.6%) and depression (19.5%) were the most common diagnoses and social workers referred proportionately fewer patients suffering with depression (7.8%). The mean length of hospital stay reduced from 87.22 days to 58.25 days over a 3-year period.
There was an increase in readmission rates and the bed occupancy remained the same (approximately 94%) in spite of a 25% reduction in available bed days.
Both GPs and patients expressed satisfaction with the services provided.
Mots-clés Pascal : Accès libre, Service santé, Trouble psychiatrique, Milieu urbain, Royaume Uni, Europe, Démence, Système nerveux pathologie, Système nerveux central pathologie, Maladie dégénérative, Encéphale pathologie, Trouble humeur, Equipe travail, Multidisciplinaire, Vieillard, Homme
Mots-clés Pascal anglais : Open access, Health service, Mental disorder, Urban environment, United Kingdom, Europe, Dementia, Nervous system diseases, Central nervous system disease, Degenerative disease, Cerebral disorder, Mood disorder, Work team, Multidisciplinary, Elderly, Human
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0439690
Code Inist : 002B18H05B. Création : 10/04/1997.