期刊
PSYCHIATRY RESEARCH
卷 209, 期 3, 页码 691-698出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2013.02.031
关键词
Mental health service evaluation; Social psychiatry; Psychiatric epidemiology; Accessibility; Social determinants; Multilevel regression
类别
资金
- Italian Ministry of Health (Ricerca Finalizzata Nazionale)
- National Institute for Health Research [NF-SI-0611-10053, RP-PG-0606-1053] Funding Source: researchfish
Individuals with a more deprived socioeconomic status (SES) are more likely to have higher rates of psychiatric morbidity and use of psychiatric services. Such service use is also influenced by socioeconomic factors at the ecological level. The aim of this article is to investigate the influence of these variables on service utilization. All patients in contact with three Italian community psychiatric services (CPS) were included. Community and hospital contacts over 6 months were investigated. Socio-economic characteristics were described using a SFS Index and two new Resources Accessibility Indexes. Low SES was found to be associated with more community service contacts. When other individual and ecological variables were controlled for, SES was negatively associated only with the number of home visits, which was about half the rate in deprived areas. An association between service utilization and the resources of the catchment area was also detected. The economic crisis in Europe is increasing inequality of access, so paying attention to SES characteristics at both the individual and the ecological levels is likely to become increasingly important in understanding patterns of psychiatric service utilization and planning care accordingly. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
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