Document Detail


Socio-economic differences in psychiatric in-patient care.
MedLine Citation:
PMID:  12580823     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
V Lorant; D Kampfl; A Seghers; D Deliège; M-C Closon; M Ansseau
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta psychiatrica Scandinavica     Volume:  107     ISSN:  0001-690X     ISO Abbreviation:  Acta Psychiatr Scand     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-02-12     Completed Date:  2003-06-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370364     Medline TA:  Acta Psychiatr Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  170-7     Citation Subset:  IM    
Affiliation:
Health System Research, School of Public Health, Faculty of Medicine, Université Catholique de Louvain, Brussels, Belgium. lorant@sesa.ucl.ac.be
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Belgium / epidemiology
Child
Child, Preschool
Data Collection
Female
Health Services Accessibility
Hospitals, Psychiatric / standards*,  statistics & numerical data
Humans
Infant
Infant, Newborn
Inpatients / statistics & numerical data*
Male
Mental Disorders / epidemiology,  therapy*
Middle Aged
Patient Admission
Socioeconomic Factors
Treatment Outcome
Comments/Corrections
Comment In:
Acta Psychiatr Scand. 2003 Mar;107(3):161-2   [PMID:  12580821 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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