Background In addition to clinical and service factors, planners need to take account ofthe influence of demographic variables, especially ethnicity, on access to mental health care.
Method Estimated prevalence rates were calculated from epidemiological surveys undertaken in three settings : psychiatric services, primary care and the general popu ation.
Associations between demographic factors and service use were examined using the'pathways to care'model.
Results Considerable differences in access to mental health care were found, particularly according to ethnicity.
The major impediment to Asians accessing care occurred at the interface between primary and secondary care, whereas the most striking feature for Blacks was the poor level ofcase recognition by GPs.
Conclusions In order to improve the uptake of mental health care, new initiatives should target those who are most ikely to be unwel but least ikely to access services.
Purchasers and providers need to address differential patterns of use when developing and reviewing services.
Mots-clés Pascal : Trouble psychiatrique, Accessibilité, Service santé, Santé mentale, Milieu urbain, Démographie, Race, Ethnie, Statut socioéconomique, Homme, Filière soins
Mots-clés Pascal anglais : Mental disorder, Accessibility, Health service, Mental health, Urban environment, Demography, Race, Ethnic group, Socioeconomic status, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0326740
Code Inist : 002B18H05B. Création : 12/09/1997.