Socio-economic differences in psychiatric in-patient care
Abstract:Lorant V, Kampfl D, Seghers A, Deliège D, Closon MC, Ansseau M. Socio-economic differences in psychiatric in-patient care.
Acta Psychiatr Scand 2003: 107: 170–177. © Blackwell Munksgaard 2003. 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.
Document Type: Research Article
Affiliations: 1: Health System Research, School of Public Health, Faculty of Medicine, Université Catholique de Louvain, Brussels, Belgium, 2: Department of Psychiatry and Medical Psychology, CHU, Université de Liège, Liège, Belgium and 3: Cliniques Saint Luc, Université Catholique de Louvain, Brussels, Belgium
Publication date: March 1, 2003