Regional supply of outreach service and length of stay in psychiatric hospital among patients with schizophrenia: National case mix data analysis in Japan

被引：7

作者：

Niimura, Junko ^{[1
]}

Nakanishi, Miharu ^{[1
]}

Yamasaki, Syudo ^{[2
]}

Nishida, Atsushi ^{[2
]}

机构：

[1] Tokyo Metropolitan Inst Med Sci, Mental Hlth & Nursing Res Team, Setagaya Ku, Tokyo, Japan

[2] Tokyo Metropolitan Inst Med Sci, Mental Hlth Promot Project, Setagaya Ku, Tokyo, Japan

来源：

PSYCHIATRY RESEARCH | 2017年 / 258卷

关键词：

Length of stay; Hospital; psychiatry; Regional health planning; Community mental health service; MENTAL-HEALTH-CARE; MODEL; INPATIENTS; ILLNESS; IMPACT;

D O I：

10.1016/j.psychres.2017.08.067

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Several clinical trials have demonstrated that linkage to an outreach service can prevent prolonged length of stay of patients at psychiatric hospitals. However, there has been no investigation of the association between length of stay in psychiatric hospital and regional supply of outreach services using national case mix data. The aim of this study was to clarify the relationship between length of stay in psychiatric hospital and regional supply of outreach services. We used data from the National Patient Survey in Japan, a nationally representative cross-sectional survey of inpatient care conducted every three years from 1996 to 2014. Data from 42,268 patients with schizophrenia who had been admitted to psychiatric hospitals were analyzed. After controlling for patient and regional characteristics, patients in regions with fewer number of visits for psychiatric nursing care at home had significantly longer length of stay in psychiatric hospitals. This finding implies that enhancement of the regional supply of outreach services would prevent prolonged length of stay in psychiatric hospitals.

引用

页码：295 / 298

页数：4

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