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The pathways to psychiatric care: a cross-cultural study

dc.creatorGater, R.
dc.creatorDe Almeida, B.
dc.creatorSousa, E.
dc.creatorBarrientos, G.
dc.creatorCaraveo, J.
dc.creatorChandrashekar, C.
dc.creatorDhadphale, M.
dc.creatorGoldberg, D.
dc.creatorAl Kathiri, A.
dc.creatorMubbashar, M.
dc.creatorSilhan, K.
dc.creatorThong, D.
dc.creatorTorres, F.
dc.creatorSartorius, N.
dc.date.accessioned2017-06-29T04:15:34Z
dc.date.available2017-06-29T04:15:34Z
dc.date.issued1991es_ES
dc.identifier129es_ES
dc.identifier.issn0033-2917es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4823
dc.identifier.urihttps://doi.org/10.1017/S003329170002239Xes_ES
dc.language.isoenges_ES
dc.relation21 (3) 761-774 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdultes_ES
dc.subject.meshCommunity Mental Health Services-Trendses_ES
dc.subject.meshCross cultural comparisones_ES
dc.subject.meshFemalees_ES
dc.subject.meshHealth resources-Trendses_ES
dc.subject.meshHealth services needs and demand-Trendses_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMedicine, traditionales_ES
dc.subject.meshMiddle agedes_ES
dc.subject.meshPsychiatry-Manpoweres_ES
dc.subject.meshReferral and consultation-Trendses_ES
dc.subject.meshWaiting listses_ES
dc.titleThe pathways to psychiatric care: a cross-cultural studyes_ES
dc.typearticlees_ES
dc.contributor.affiliationMental Health Division, World Health Organization, Geneva, Switzerland.es_ES
dc.relation.jnabreviadoPSYCHOL MEDes_ES
dc.relation.journalPsychological Medicinees_ES
dc.date.published1991es_ES
dc.identifier.organizacionInstituto Mexicano de Psiquiatríaes_ES
dc.identifier.eissn1469-8978es_ES
dc.description.monthAgoes_ES
dc.description.abstractotrodiomaThis paper describes the referral pathways taken by 1554 patients newly referred to the mental health services in 11 countries, and documents factors associated with delays in referral. The pathways in centres relatively well provided with psychiatric staff were dominated by general practitioners and to a lesser extent hospital doctors: the relatively less well resourced centres showed a variety of pathways with native healers often playing an important part. Delays were remarkably short in all centres regardless of psychiatric resources, but in some centres we found longer delays on pathways involving native healers. Somatic problems were a common presentation in all centres, and in some centres there was a tendency for patients presenting with somatic problems to have longer delays than those with symptoms of depression or anxiety. The implications of these findings are discussed in the context of an ongoing programme of WHO research activities aimed at improving the quality of mental illness care available in community settings.es_ES


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