Geller J L
University of Massachusetts Medical School, Worcester.
Hosp Community Psychiatry. 1992 Sep;43(9):904-8. doi: 10.1176/ps.43.9.904.
A total of 196 nonspecialty state hospitals in the U.S. each identified one patient--referred to as the hospital's "worst" recidivist--admitted to the hospital in 1987 who had the most lifetime admissions to that hospital. Persons admitted for mental retardation or substance abuse detoxification were excluded. The mean age of the recidivists was 42.2 years; their mean age at first admission was 24.7. The number of admissions per patient ranged from five to 121, with a mean of 31. Compared with the national population of state hospital admissions, significantly larger proportions of recidivists had diagnoses of schizophrenia, bipolar disorder, and personality disorder. More research is needed to determine actual community tenure of patients who receive revolving-door care and whether alternative approaches would be more effective.
美国共有196家非专科医院，每家医院都确定了一名患者——被称为医院的“最严重”累犯——该患者于1987年入院，是那家医院终生入院次数最多的。因智力迟钝或药物滥用解毒而入院的患者被排除在外。累犯的平均年龄为42.2岁；他们首次入院时的平均年龄为24.7岁。每位患者的入院次数从5次到121次不等，平均为31次。与国立医院入院患者的全国人口相比，累犯中被诊断为精神分裂症、双相情感障碍和人格障碍的比例明显更高。需要更多的研究来确定接受“旋转门”护理的患者在社区中的实际停留时间，以及替代方法是否会更有效。
