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Pathways to Psychiatric Care-review of Literatures Naoki HASHIMOTO 1,2 , Daisuke FUJISAWA 1,3 , Kotaro OTSUKA 1,4 , Yayoi KOIZUMI 1,5,6 1Japan Young Psychiatrists Organization;JYPO, Tokyo, Japan 2Department of Psychiatry, Hokkaido University Graduate School of Medicine 3Department of Psychiatry, Keio University School of Medicine 4Department of Neuropsychiatry of Iwate Medical University 5Kodama Hospital 6Department of Psychiatry, Tohoku University Graduate School of Medicine Keyword: Psychiatric service , Pathway , Help-seeking , Referral , General practitioner pp.1276-1285
Published Date 2006/12/15
DOI https://doi.org/10.11477/mf.1405100803
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 The pathway study is an epidemiological investigation as to how a patient with psychological problems has found his or her way to a mental health professional. The basic method of the pathway study was established in the cross-cultural study conducted by the World Health Organization in 1988. In the pathway study, all the new patients who have visited the mental health professionals concerned are the subjects of the investigation. They are interviewed according to a special encounter form. The form contains such items as the professions of the previous carers, the length of time their patient has been under the care, the source of referral, the main problem presented, the main treatment offered, the length of time the patient needs to go and see the carer and the patient's background. Since the pathway study is a simple and inexpensive method of obtaining a lot of information. Since the publication of the results of the WHO cross-cultural study, studies of the same kind have been done in many countries around the world including developing countries. These studies have shown the characteristics of the pathways in each country, and the roles of primary care physicians, hospital doctors and native or religious healers in the pathway. They have also revealed areas in the pathway that have resulted in delays.

 In this paper, we summarize the results of the pathway studies in 27 regions. We also review some related articles from Japan.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

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