Druss B G, Bruce M L, Jacobs S C, Hoff R A
Department of Psychiatry, Yale University, CT, USA.
Adm Policy Ment Health. 1998 Mar;25(4):427-35. doi: 10.1023/a:1022296608777.
This study examines the composition and delivery of services in a general hospital inpatient psychiatry unit during a 10-year period. Multiple regression techniques were used to assess the association of clinical, insurance, and demographic data with length of stay and likelihood of readmission for all admissions from 1985-1993. Two variables became progressively associated with readmission--Medicaid and psychotic diagnosis. The results indicate that: (1) the hospital is increasingly treating a poorer, sicker group of patients with shorter lengths of stay and more readmissions, and (2) the rise in readmissions, particularly within vulnerable populations, could represent an inadequate length of initial treatment. Future research should further investigate the generalizability of these results and implications for quality of inpatient care.
本研究考察了一家综合医院住院精神科在10年期间的服务构成与提供情况。运用多元回归技术评估了1985年至1993年期间所有入院患者的临床、保险和人口统计学数据与住院时长及再次入院可能性之间的关联。有两个变量与再次入院逐渐呈现相关性——医疗补助和精神病诊断。结果表明：（1）该医院越来越多地收治病情更重、经济状况更差的患者，这些患者住院时间更短且再次入院次数更多；（2）再次入院率的上升，尤其是在弱势群体中，可能意味着初始治疗时长不足。未来的研究应进一步探究这些结果的普遍性以及对住院护理质量的影响。
