Dalgalarrondo P, Gattaz W F
Central Institute of Mental Health, Mannheim, FRG.
Soc Psychiatry Psychiatr Epidemiol. 1992 May;27(3):147-50. doi: 10.1007/BF00788761.
The planning and organization of mental health care in developing countries frequently lacks empirical data. The World Health Organization recommended psychiatric brief inpatient programs in general hospitals for these countries as a cost-effective alternative to the traditional mental hospital. Length of hospital stay is a crucial factor in a cost-effective mental health care organization. In a newly organized psychiatric inpatient unit in a general teaching hospital in Brazil we investigated the influence of 16 socio-demographic and clinical variables on the length of stay. Distance from residence to hospital (P less than 0.10), clinical diagnosis (P less than 0.05) and religious affiliation (P less than 0.05) were significantly related to length of stay. Possible mental health care implications of this short stay program are discussed.
发展中国家心理健康护理的规划与组织常常缺乏实证数据。世界卫生组织建议，对于这些国家的综合医院，开展精神科短期住院项目，作为传统精神病院的一种经济高效的替代方案。住院时间是经济高效的心理健康护理组织中的一个关键因素。在巴西一家综合教学医院新组建的精神科住院部，我们调查了16个社会人口统计学和临床变量对住院时间的影响。居住地到医院的距离（P<0.10）、临床诊断（P<0.05）和宗教信仰（P<0.05）与住院时间显著相关。本文讨论了这个短期住院项目对心理健康护理可能产生的影响。
