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美国私立精神病医院收治患者的特征:1986年

Characteristics of persons served by private psychiatric hospitals, United States: 1986.

作者信息

Koslowe P A, Rosenstein M J, Milazzo-Sayre L J, Manderscheid R W

出版信息

Ment Health Stat Note. 1991 Sep(201):1-25. doi: 10.1037/e477372004-001.

DOI:10.1037/e477372004-001
PMID:1745135
Abstract

Overall about 71,000 persons were under care in the inpatient, outpatient, and partial care programs of private psychiatric hospitals in the United States on April 1, 1986, and about 300,000 persons were admitted to these programs during 1986. Inpatient programs served the largest number of people, 223,851; outpatient programs served 133,217; and partial care programs served a much smaller population, only 13,541. The relative distribution of persons admitted, versus persons under care, differed considerably by type of program. Although the number of those admitted was larger than the number of those under care for both inpatient and outpatient programs, the difference between the two populations was much more pronounced within inpatient programs (chart A). Most of the persons admitted to private psychiatric hospitals in 1986 were admitted to inpatient programs, 207 thousand or 69 percent of all admissions, while most of those under care were outpatients, 47 thousand or 66 percent of all those under care on a single day. Children and youth under age 18 comprised the largest percentage of persons under care in inpatient programs, while persons in the 25-44 age group comprised the largest percentage of those admitted to inpatient programs. Approximately 41 percent of all persons under care in inpatient programs were under 18 years of age, compared with only 20 percent of all persons admitted to inpatient programs. The large number of children and youth found in the population under care within inpatient programs indicates the high median length of inpatient stay for persons within this age group (41 days compared with 24 days overall). Children and youth and the 25-44 year group each represented over one-third of those admitted to outpatient programs. The 25-44 age group made up the largest percentage of persons under care in outpatient programs and among those admitted to partial care programs. Among those under care within partial care programs, differences among age groups were not statistically significant. Of persons admitted to partial care programs, 92 percent had a history of some type of prior mental health treatment; for those admitted to inpatient and outpatient programs, the corresponding percentages were 70 percent and 48 percent, respectively. Affective disorders were a frequently occurring diagnostic grouping, comprising almost half of all persons admitted to and under care in inpatient programs, approximately one-third of those admitted and those under care in partial care programs, and around one-fourth of those admitted to and under care in outpatient programs.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

1986年4月1日,美国私立精神病医院的住院、门诊和部分护理项目中,共有约7.1万人接受治疗,1986年期间约有30万人被收治到这些项目中。住院项目服务的人数最多,为223,851人;门诊项目服务133,217人;部分护理项目服务的人数则少得多,仅13,541人。收治人数与接受治疗人数的相对分布因项目类型而异。虽然住院和门诊项目的收治人数都多于接受治疗的人数,但住院项目中这两个人数群体之间的差异更为明显(图A)。1986年入住私立精神病医院的大多数人被收治到住院项目,为20.7万人,占所有收治人数的69%,而接受治疗的大多数人是门诊患者,为4.7万人,占某一天所有接受治疗人数的66%。18岁以下的儿童和青少年在住院项目接受治疗的人数中占比最大,而25至44岁年龄组的人在住院项目收治人数中占比最大。住院项目中接受治疗的所有人员中约41%年龄在18岁以下,而住院项目收治的所有人员中这一比例仅为20%。住院项目中接受治疗人群中大量的儿童和青少年表明该年龄组住院患者的住院时间中位数较高(41天,而总体为24天)。儿童和青少年以及25至44岁年龄组在门诊项目收治人数中各占三分之一以上。25至44岁年龄组在门诊项目接受治疗的人数以及部分护理项目收治人数中占比最大。在部分护理项目接受治疗的人群中,年龄组之间的差异无统计学意义。在部分护理项目收治的人员中,92%有某种类型的先前心理健康治疗史;在住院和门诊项目收治的人员中,相应比例分别为70%和48%。情感障碍是一种常见的诊断类别,在住院项目收治和接受治疗的所有人员中占近一半,在部分护理项目收治和接受治疗的人员中约占三分之一,在门诊项目收治和接受治疗的人员中约占四分之一。(摘要截取自400字)

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