Socio-economic differences in psychiatric in-patient care.

Lorant, Vincent;Kampfl, D;Seghers, Arlette;Deliège, D;Ansseau, M.;et.al.
(2003) Acta Psychiatrica Scandinavica — Vol. 107, n° 3, p. 170-177 (2003)

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Authors
  • Author
  • Kampfl, D
    Author
  • Seghers, ArletteUCLouvain
    Author
  • Deliège, D
    Author
  • Closon, Marie-ChristineUCLouvain
    Author
  • Ansseau, M.
    Author
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Abstract
OBJECTIVE: We seek to investigate socio-economic differences in psychiatric in-patient care regarding admission, treatment and outcome. METHOD: This study is undertaken on a comprehensive and exhaustive psychiatric case register of all psychiatric in-patient care carried out in Belgium in 1997 and 1998 (n=144 754). RESULTS: Lower socio-economic groups were more likely to be compulsorily admitted, to be cared for in a non-teaching or psychiatric hospital, to be admitted in a hospital with unexpectedly long average length of stay and to be admitted to a ward with a more severe case-mix. They were less likely to receive antidepressants and psychotherapies. The improvements in functioning and in symptoms were also less favourable for these groups. The lowest group had a higher risk of dying in the hospital. CONCLUSION: Psychiatric in-patient care is associated with moderate socio-economic differences in access, treatment and outcome. Further research is needed to clarify the causes of such disparities.
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Lorant, V., Kampfl, D., Seghers, A., Deliège, D., Closon, M.-C., & Ansseau, M. (2003). Socio-economic differences in psychiatric in-patient care. Acta Psychiatrica Scandinavica, 107(3), 170-177. https://doi.org/10.1034/j.1600-0447.2003.00071.x (Original work published 2003)