Junghan U M, Brenner H D
University Hospital for Social and Community Psychiatry, Bern, Switzerland.
Acta Psychiatr Scand Suppl. 2006(429):24-32. doi: 10.1111/j.1600-0447.2005.00713.x.
There is an inequality in resource utilization among acute psychiatric in-patients. About 20-30% of them absorb 60-80% of the total resources allocated to this form of treatment. This study intends to summarize findings related to heavy in-patient service use and to illustrate them by means of utilization data for acute psychiatric wards.
Longitudinal assessment of consecutive acute in-patients hospitalized for the first time. Analysis of individual utilization patterns by using latent class cluster analysis.
Four groups with different utilization patterns were found all including heavy service users. In most cases heavy service use was temporary and could only be poorly predicted.
Specific preventive interventions to contain heavy service use seem to be out of reach for the majority of high utilizing patients. However, services that have proven effective in reducing admissions to in-patient treatment and length of stay may nevertheless help to reduce heavy service use.
急性精神科住院患者在资源利用方面存在不平等现象。其中约20%-30%的患者消耗了分配给这种治疗形式的总资源的60%-80%。本研究旨在总结与大量住院服务使用相关的研究结果，并通过急性精神科病房的利用数据进行说明。
对首次住院的连续急性住院患者进行纵向评估。使用潜在类别聚类分析对个体利用模式进行分析。
发现了四组具有不同利用模式的患者，所有组均包括大量服务使用者。在大多数情况下，大量服务使用是暂时的，且预测效果不佳。
对于大多数高利用率患者而言，似乎无法采取具体的预防性干预措施来控制大量服务使用。然而，已被证明在减少住院治疗入院率和住院时间方面有效的服务仍可能有助于减少大量服务使用。
