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日间医院病房能否成为降低精神科治疗成本的一种可能?

[Could the day hospital wards be a possibility of reducing treatment costs in psychiatry?].

作者信息

Piotrowski Patryk, Kiejna Andrzej

机构信息

Katedra i Klinika Psychiatrii AM we Wrocławiu.

出版信息

Psychiatr Pol. 2005 Nov-Dec;39(6):1067-75.

Abstract

The aim of the article is a presentation of the possible manner in which cost reduction of psychiatric treatment could be achieved by introducing a day hospital system. Based on literature, a similar improvement in clinical and social outcome between both partial and full hospitalization was shown. The comparison of costs in the studied models of treatment demonstrated a probable level of savings assessed at 20-30% for the day treatment. The presented data obtained from the epidemiologic registry of Lower Silesian district showed a significant increase of hospital admissions of mostly non-psychotic patients--the most cost-saving group of mental dysfunctions while treated in a day hospital. As the cited articles concerned, studies conducted in other countries where the economic environment differs from the Polish one--there is a need of cost comparison between day hospital and inpatient treatment in the country.

摘要

本文的目的是介绍通过引入日间医院系统实现精神科治疗成本降低的可能方式。基于文献,部分住院和全住院在临床和社会结局方面显示出类似的改善。所研究治疗模式的成本比较表明,日间治疗可能节省20%-30%的费用。从下西里西亚地区的流行病学登记处获得的数据显示,主要是非精神病患者的住院人数显著增加,这些患者是精神功能障碍中最节省成本的群体,在日间医院接受治疗。鉴于所引用的文章涉及在经济环境与波兰不同的其他国家进行的研究,因此有必要在该国对日间医院和住院治疗进行成本比较。

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