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Survey of patients from an inner-London health authority in medium secure psychiatric care

机译:来自伦敦内部卫生机构中度安全精神病患者的调查

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Background Underprovision by the National Health Service (NHS) has led to an increase in medium secure psychiatric beds managed by the independent sector. Black people are overrepresented in medium secure care. Aims To describe those people from an inner-London health authority occupying all forms of medium secure provision. To compare those in NHS provision with those in the independent sector, and Black patients with White patients. Method A census of those in medium secure care in August 1997. Results The 90 patients in independent-sector units were similar to the 93 patients in NHS units except that they were more likely to have been referred from general psychiatric services (48% v. 19%) and less likely to have been referred from the criminal justice system or a high-security hospital (37% v. 63%). There were few differences between Black and White patients. Conclusions The NHS meets only part of the need for medium secure care of the population of this London health authority. This comparison of the characteristics of Black and White patients does not help to explain why Black people are overrepresented in medium secure settings.
机译:背景技术国家卫生服务局(NHS)的资源不足导致由独立部门管理的中等安全的精神科病床数量增加。黑人在中等安全医疗中人数过多。目的描述来自伦敦内部卫生部门的人员,他们使用各种形式的中等安全措施。将NHS提供者与独立部门者以及黑人患者与白人患者进行比较。方法对1997年8月接受中等安全治疗的患者进行普查。结果独立部门的90例患者与NHS的93例患者相似,不同的是,他们更有可能是从普通精神科转诊的(48%vs。 19%),并且不太可能从刑事司法系统或高安全性医院转诊(37%对63%)。黑人和白人患者之间几乎没有差异。结论NHS仅满足伦敦卫生当局对人群提供中等安全护理的部分需求。黑人和白人患者特征的这种比较无助于解释为什么在中等安全环境中黑人人数过多。

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