Brown S L
Martin School of Public Policy and Administration, University of Kentucky, Lexington, KY 40506-0027, USA.
Psychiatr Serv. 2001 Jun;52(6):841-3. doi: 10.1176/appi.ps.52.6.841.
The author examined variations in the clinical characteristics, costs, utilization, and discharge patterns of adult inpatients who were hospitalized for psychiatric disorders in Maryland state general hospitals in 1998. Administrative discharge data on all 30,121 adult psychiatric patients in the state in 1998 were used to calculate descriptive statistics on elderly (age 65 years and over) and nonelderly (age 19 to 64 years) patients. The most common reasons for hospitalization were substance-related disorders, which affected 25 percent of the patients, and major depressive disorders, which affected 24.6 percent of the patients. After the effects of Medicare's prospective payment system were disregarded, the average cost of treating elderly persons for depression was calculated to be around 80 percent higher than national estimates.
作者研究了1998年在马里兰州综合医院因精神疾病住院的成年住院患者的临床特征、费用、医疗服务利用情况及出院模式的差异。利用该州1998年所有30121名成年精神科患者的行政出院数据，计算了老年患者（65岁及以上）和非老年患者（19至64岁）的描述性统计数据。住院的最常见原因是物质相关障碍，影响了25%的患者，以及重度抑郁症，影响了24.6%的患者。在忽略医疗保险预期支付系统的影响后，治疗老年抑郁症患者的平均费用经计算比全国估计值高出约80%。
