THE PATHWAYS TO PSYCHIATRIC-CARE - A CROSS-CULTURAL-STUDY

被引：226

作者：

GATER, R ^{[1
]}

SOUSA, BD ^{[1
]}

BARRIENTOS, G ^{[1
]}

CARAVEO, J ^{[1
]}

CHANDRASHEKAR, CR ^{[1
]}

DHADPHALE, M ^{[1
]}

GOLDBERG, D ^{[1
]}

ALKATHIRI, AH ^{[1
]}

MUBBASHAR, M ^{[1
]}

SILHAN, K ^{[1
]}

THONG, D ^{[1
]}

TORRESGONZALES, F ^{[1
]}

SARTORIUS, N ^{[1
]}

机构：

[1] WHO,DIV MENTAL HLTH,CH-1211 GENEVA 27,SWITZERLAND

来源：

PSYCHOLOGICAL MEDICINE | 1991年 / 21卷 / 03期

关键词：

D O I：

10.1017/S003329170002239X

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This paper describes the referral pathways taken by 1554 patients newly referred to the mental health services in 11 countries, and documents factors associated with delays in referral. The pathways in centres relatively well provided with psychiatric staff were dominated by general practitioners and to a lesser extent hospital doctors: the relatively less well resourced centres showed a variety of pathways with native healers often playing an important part. Delays were remarkably short in all centres regardless of psychiatric resources, but in some centres we found longer delays on pathways involving native healers. Somatic problems were a common presentation in all centres, and in some centres there was a tendency for patients presenting with somatic problems to have longer delays than those with symptoms of depression or anxiety. The implications of these findings are discussed in the context of an ongoing programme of WHO research activities aimed at improving the quality of mental illness care available in community settings.

引用

页码：761 / 774

页数：14

共 6 条

[1] SOMATIC PRESENTATIONS OF PSYCHIATRIC-ILLNESS IN PRIMARY CARE SETTING [J].