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首页> 外文期刊>The International journal of social psychiatry >Pathways to mental health care in Italy: Results from a multicenter study
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Pathways to mental health care in Italy: Results from a multicenter study

机译：意大利心理健康护理的途径：多中心研究的结果

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Background and aims: In Italy, the reform of the mental health system in 1978 should have drastically changed the provision of care and pathways of patients seeking to obtain it. The aim of this article is to examine the current pathways to psychiatric care in Italy. Methods: We used a method developed in the World Health Organization international collaborative studies to investigate pathways to care in 15 Italian mental health centers. We recruited 420 patients with a psychiatric illness and explored the care pathways they took to reach to psychiatric services and the delays from the onset of illness to reaching psychiatric care. Results: The majority of patients (33.8%) had direct access to mental health care, whereas the others arrived to a specialist in psychiatry through general hospitals (20.3%), general practitioners (33.0%) or private practitioners (9.8%). The main diagnosis for referral was neurotic disorder (36.6%), followed by affective disorder (35.4%) and psychotic disorder (11.5%). The delay from onset of illness to psychiatric care was greater for patients with psychotic disorders than for those with affective and neurotic disorders. The most frequently prescribed treatments were pharmacotherapy (56%), psychological support (8%), and psychotherapy (7.0%); 15% of the patients received no treatment. Conclusions: Our multicenter study shows that although general practitioners and hospital doctors are still the main referral point for mental health care, a greater proportion of patients are first seen in private settings or directly reach mental health centers, compared to previous surveys conducted in Italy. However, a stronger collaboration of psychiatrists with general practitioners and psychologists is still needed.
机译：背景和目标：在意大利，1978年的精神卫生系统改革应该彻底改变了提供医疗服务的方式以及寻求获得医疗服务的患者的途径。本文的目的是研究意大利目前的精神病治疗途径。方法：我们使用了世界卫生组织国际合作研究中开发的方法来调查意大利15个精神卫生中心的护理途径。我们招募了420名患有精神病的患者，并探讨了他们为获得精神病服务所采取的护理途径以及从疾病发作到获得精神病治疗的延误。结果：大多数患者（33.8％）可以直接获得心理保健，而其他患者则通过综合医院（20.3％），全科医生（33.0％）或私人医生（9.8％）到达精神病专科医生。转诊的主要诊断为神经系统疾病（36.6％），其次是情感障碍（35.4％）和精神病（11.5％）。患有精神病的患者比患有情感和神经疾病的患者从疾病发作到精神病治疗的延迟更大。最常用的处方治疗是药物疗法（56％），心理支持（8％）和心理疗法（7.0％）; 15％的患者未接受治疗。结论：我们的多中心研究表明，尽管全科医生和医院医生仍然是精神保健服务的主要转诊点，但与之前在意大利进行的调查相比，更多的患者是首次在私人场所或直接到达精神保健中心就诊。但是，仍然需要精神科医生与全科医生和心理学家加强合作。

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