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Admission To General Hospital Psychiatric Wards in Italy

1. A Comparison Between Two Catchment Areas With Differing Provision of Outpatient Care

Servizi Psichiatrici, U.S.S.L., 51 Via S. Sebastiano, 26100 Cremona, Italy

Ole Mors

Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, 8240 Risskov, Denmark

Giovanni Rossi

Lucia Grandi

Servizi Psichiatrici, U.S.S.L., 51 Via S. Sebastiano, 26100 Cremona, Italy

Walter Ardigo

Servizi Psichiatrici, U.S.S.L., 51 Via S. Sebastiano, 26100 Cremona, Italy

Povl Munk-Jørgensen

Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, 8240 Risskov, Denmark

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 percen tage 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.

International Journal of Social Psychiatry, Vol. 34, No. 4, 248-257 (1988)
DOI: 10.1177/002076408803400402


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