RESUMEN
Usage of quality of life of psychiatric patients' relatives as the parameter of estimation of the quality of psychiatric care is considered. By means of standard questionnaire elaborated by the authors as well as by means of both individual and group conversations the quality of life was analyzed in 40 relatives which lived together with psychiatric patients. Different spheres of their life and difficulties (financial, social-psychologic, production) were examined in families with such patients. The defects of psychiatric care that had direct influence on the quality of life of the psychiatric patients' relatives are outlined.
Asunto(s)
Familia , Trastornos Mentales , Calidad de Vida , Adulto , Femenino , Estado de Salud , Humanos , Masculino , Trastornos Mentales/terapia , Persona de Mediana Edad , Factores Socioeconómicos , Encuestas y CuestionariosRESUMEN
The main trends in the organization and economic transformations in psychiatric services of Russia in 1989-1996 are analyzed: financial support of the institutions of psychiatric care, changes in the organizational structure of services, new forms and types of care. The opinion of the authorities of regional services concerning the organization and economic changes in institutions of psychiatric care are presented.
Asunto(s)
Servicios de Salud Mental/economía , Servicios de Salud Mental/organización & administración , Psiquiatría , Costos y Análisis de Costo , Humanos , Federación de RusiaRESUMEN
Integral economic loss of the society, connected with mental disease, were calculated by the author and presented. The author determined "direct" and "connected" state costs for psychiatric patients, and the volume of non produced national income (indirect costs) because psychiatric patients with temporal or constant disability are excluded from producing process. Financial state of psychiatric hospitals in Moscow was analysed and reserves for improvement of money spending were found out. Calculations of expenses of admission of patients with different diseases to Psychiatric Hospital N 1 by P.P. Kashenko in 1988 were performed. Principles of financing of psychiatric hospitals on the basis of clinical-statistic groups are discussed. The method of determination of prices for medical and diagnostic services to patients is presented.