Lomest psychiatric case register: Old and new long-stay patients

Torre, Eugenio; Marinoni, Alessandra; Allegri, Giorgio

doi:10.1007/bf00582962

Cited by 29 publications

(6 citation statements)

References 11 publications

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“…Both the bi-variate and the multi-variate analyses show that a diagnosis of psychosis and especially of schizophrenia are clearly connected with heavy service consumption. The same trend has also been found in other studies (11,12).…”

Section: Discussionsupporting

confidence: 87%

Utilization of mental health services over a given period

Lavik

1983

Acta Psychiatr Scand

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The utilization of the mental health services was studied over a 2-year period for a cohort of 211 consecutively admitted patients from a catchment area in Oslo. A cumulative index for service consumption showed that 10% of the patients used 75% of the service resources. A bi-variate and a multi-variate analysis showed how psychopathology and sociodemographic factors contributed to the degree of service consumption.

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Section: Discussionsupporting

confidence: 87%

Utilization of mental health services over a given period

Lavik

1983

Acta Psychiatr Scand

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“…The much higher rate of patients admitted in Cremona compared to 84anlua seems to demonstrate either that a higher supply of hospital beds leads unavoidably to higher utilization, irrespective of the real need for the treatment of many patients, as some authors claim (Giel & ten Horn, 1985) and that the simple development of outpatient services, &dquo;cor~n-elementary&dquo; rather than &dquo;alternative&dquo; to the hospital treatment, does not produce a decrease in the rate of admissions (Tansella & Zimmermann-Tansella, 1988). Torre et al (1982) have also pointed out that &dquo;admissions patterns show local differences and they may be related to ... development of the outpatient sea~ice &dquo;. There are not marked differences between the two areas in terms of rates of outpatient care in the present study.…”

Section: Discussionsupporting

confidence: 48%

“…Jones & Poletti, 1984Mosher, 1982Mosher, , 1983Ramon, 1983;Smythies, 1985); 2) quantitative evaluations of specific aspects of the reform on a national level (Morosini et cal. 1985;Paparo & Bacigalupi, 1982;Tansella et al 1987) or on a regional and local level (Becker, 1985;Massignan, 1984;; ' 3) epidemiological comparisons between different areas (l~larin®ni et al 1985; Tansella & De Salvia, 1986;Torre et al 1982; Torre & Marinoni, 1985).…”

mentioning

confidence: 99%

Admission To General Hospital Psychiatric Wards in Italy

Girolamo¹,

Mors²,

Rossi³

et al. 1988

Int J Soc Psychiatry

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Epidemiological comparisons carried out in Italian settings regarded very different areas. In this paper, we investigate the effects on the hospital activity of two different organizational models of care in two neighbouring areas in Northern Italy, Cremona and Mantua, very similar in sociodemographic features. Cremona is hospital oriented, while Mantua has well developed community services. All the patients of the catchment areas admitted during 1986 were studied. Age distribution for males, marital status, education and percentage of employed were very similar in the two samples. However, age distribution and mean age at the time of the first ever psychiatric admission for females were different, as well as the percentage of patients living alone and the percentage of patients discharged home. But the cogent finding was the number of admissions, much higher in Cremona than in Mantua, especially for some age groups. Some explanations of this strong difference, regarding two neighbouring and similar areas, are discussed.

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“…Regional or local registers usually comprise the catchment area of a community mental health service. Therefore, the population at risk included in these registers is comparatively small: Lomest, Italy— 88,000 (Torre, Marinoni, and Allegri 1982); Salford, U.K.—130,000– 140,000 (Wing and Fryers 1976); Iceland—about 110,000 (Helgason 1977); Mannheim, F.R.G.— about 300,000 (Häfner and Klug 1982). The non-European case registers are organized on a regional level, but most of them cover a larger population; e.g., Maryland, U.S.A.—about 3.5 million; Monroe County, U.S.A.—about 700,000; Victoria, Australia—about 3.5 million.…”

Section: Cumulative Psychiatric Case Registers: Composition and Organ...mentioning

confidence: 99%

The Contribution of European Case Registers to Research on Schizophrenia

Häfner

Heiden

1986

Schizophrenia Bulletin

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Psychiatric case registers have become important instruments for epidemiological research and for the evaluation of care provided for persons suffering from schizophrenia. Under the condition of a sufficient provision of care, case registers permit relatively reliable estimates of "treated" incidence and prevalence, and enable the investigation of associations between morbidity risks, disease courses, and variables such as ecological, social, and occupational factors. The linkage with twin, adoption, and birth registers provides new opportunities for the investigation of the impact of genetic versus environmental factors on the probability of becoming ill with schizophrenia. On the basis of long-term utilization figures, case registers enable a valid measure for controlling utilization, effectiveness, quality, and costs of care. Because case registers take demographic and regional factors into account, they enable better planning of mental health services--a task that grows more important with the shift from hospital-based to community-based treatment, especially for the chronic patients.

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Lomest psychiatric case register: Old and new long-stay patients

Cited by 29 publications

References 11 publications

Utilization of mental health services over a given period

Utilization of mental health services over a given period

Admission To General Hospital Psychiatric Wards in Italy

The Contribution of European Case Registers to Research on Schizophrenia

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