供给还是需求?1900 - 1959年,瑞典福利国家中精神病患者的制度化

IF 0.3 3区 哲学 Q4 HISTORY OF SOCIAL SCIENCES History of Psychiatry Pub Date : 2022-05-19 DOI:10.1177/0957154X221084976
Liselotte Eriksson, J. Junkka, Glenn Sandström, L. Vikström
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引用次数: 0

摘要

关于精神病患者住院的历史研究主要依赖于住院患者的数据,而不是风险人群的数据。因此,制度化的根本因素尚不清楚。使用1900-59年报告精神障碍的瑞典纵向微观数据,我们研究了供应因素,如与机构的距离和庇护床位的数量,是否影响了机构的风险,以及需求因素,如接触家庭。收容风险与床位供应和离庇护中心近有关,但也取决于家庭对照顾亲属的需求未得到满足。20世纪30年代,由于精神护理的供应满足了这种家庭驱动的需求,那些缺乏家庭网络的人被收容的相对风险增加了。
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Supply or demand? Institutionalization of the mentally ill in the emerging Swedish welfare state, 1900–59
Historical studies on the institutionalization of the mentally ill have primarily relied on data for institutionalized patients rather than the population at risk. Consequently, the underlying factors of institutionalization are unclear. Using Swedish longitudinal microdata from 1900–59 reporting mental disorders, we examine whether supply factors, such as distance to institutions and number of asylum beds, influenced the risk of institutionalization, in addition to demand factors such as access to family. Institutionalization risks were associated with the supply of beds and proximity to an asylum, but also dependent on families’ unmet demand for care of relatives. As the supply of mental care met this family-driven demand in the 1930s, the relative risk of institutionalization increased among those lacking family networks.
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来源期刊
CiteScore
1.10
自引率
16.70%
发文量
34
期刊介绍: History of Psychiatry publishes research articles, analysis and information across the entire field of the history of mental illness and the forms of medicine, psychiatry, cultural response and social policy which have evolved to understand and treat it. It covers all periods of history up to the present day, and all nations and cultures.
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