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首页> 外文期刊>The British journal of psychiatry : >Outcomes of Nordic mental health systems: life expectancy of patients with mental disorders
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Outcomes of Nordic mental health systems: life expectancy of patients with mental disorders

机译：北欧精神卫生系统的成果：精神障碍患者的预期寿命

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Background People with mental disorders evince excess mortality due to natural and unnatural deaths. The relative life expectancy of people with mental disorders is a proxy measure of effectiveness of social policy and health service provision. Aims To evaluate trends in health outcomes of people with serious mental disorders. Method We examined nationwide 5-year consecutive cohorts of people admitted to hospital for mental disorders in Denmark, Finland and Sweden in 1987a€“2006. In each country the risk population was identified from hospital discharge registers and mortality data were retrieved from cause-of-death registers. The main outcome measure was life expectancy at age 15 years. Results People admitted to hospital for a mental disorder had a two- to threefold higher mortality than the general population in all three countries studied. This gap in life expectancy was more pronounced for men than for women. The gap decreased between 1987 and 2006 in these countries, especially for women. The notable exception was Swedish men with mental disorders. In spite of the positive general trend, men with mental disorders still live 20 years less, and women 15 years less, than the general population. Conclusions During the era of deinstitutionalisation the life expectancy gap for people with mental disorders has somewhat diminished in the three Nordic countries. Our results support further development of the Nordic welfare state model, i.e. tax-funded community-based public services and social protection. Health promotion actions, improved access to healthcare and prevention of suicides and violence are needed to further reduce the life expectancy gap.
机译：背景技术患有精神疾病的人认为由于自然死亡和非自然死亡会导致死亡率过高。精神障碍患者的相对预期寿命是衡量社会政策和医疗服务有效性的一种替代指标。目的评估严重精神障碍患者健康状况的趋势。方法我们对1987、2006年在丹麦，芬兰和瑞典的精神疾病住院患者进行了连续5年的全国队列研究。在每个国家中，从出院登记册中识别出风险人群，并从死亡原因登记册中获取死亡率数据。主要结局指标是15岁时的预期寿命。结果在所有研究的三个国家中，因精神障碍而住院的人的死亡率都比普通人群高两倍至三倍。男性比女性的预期寿命差距更为明显。这些国家的差距在1987年至2006年之间缩小了，特别是对于女性。著名的例外是患有精神疾病的瑞典男子。尽管总的趋势是积极的，但精神障碍的男性的寿命仍然比一般人口少20岁，而女性则少15岁。结论在非制度化时代，三个北欧国家的精神障碍患者的预期寿命差距有所缩小。我们的结果支持北欧福利国家模型的进一步发展，即税收资助的基于社区的公共服务和社会保护。为了进一步缩小预期寿命差距，需要采取健康促进行动，改善获得医疗保健的机会以及预防自杀和暴力行为。

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