[住院精神科服务的频繁使用者]
[Heavy users of inpatient psychiatric services].
作者信息
Roick Christiane, Heider Dirk, Kilian Reinhold, Angermeyer Matthias C
机构信息
Universität Leipzig, Klinik und Poliklinik für Psychiatrie, Leipzig, Germany.
出版信息
Psychiatr Prax. 2002 Oct;29(7):343-9. doi: 10.1055/s-2002-34657.
OBJECTIVE
This paper describes the extent of heavy use of inpatient psychiatric services. It reveals predictors of heavy use.
METHODS
969 users of inpatient psychiatric services in the city of Leipzig were identified based on health insurance data.
RESULTS
16,7 % of the patients had at least 3 admissions and were classified as heavy users. They accounted for 36,4 % of the total inpatient cost. Patients suffering from schizophrenia or a comorbidity with personality disorders had a higher risk to be a heavy user. The kind of facility and the way of discharge were also predictors for heavy use.
CONCLUSIONS
Further qualitative analyses should identify reasons for heavy users to utilize inpatient services and find out other opportunities of care for these patients.
目的
本文描述了住院精神科服务的大量使用情况。它揭示了大量使用的预测因素。
方法
根据健康保险数据确定了莱比锡市969名住院精神科服务使用者。
结果
16.7%的患者至少有3次入院记录，被归类为大量使用者。他们占住院总费用的36.4%。患有精神分裂症或合并人格障碍的患者成为大量使用者的风险更高。医疗机构的类型和出院方式也是大量使用的预测因素。
结论
进一步的定性分析应确定大量使用者使用住院服务的原因，并找出针对这些患者的其他护理机会。
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