Kawohl Wolfram, Nordt Carlos, Warnke Ingeborg, Kistler Christian, Ajdacic-Gross Vladeta, Rössler Wulf
Forschungsgruppe Klinische und Experimentelle Psychopathologie.
Neuropsychiatr. 2010;24(1):27-32.
Next to socio-economic factors, subjective need, political and health economiaspects play an important role in the planning of psychiatric structures. The aim of this study was to assess the consequences of a reduction of inpatient capacities fort the usage of psychiatric inpatient care.
The admissions of inpatients from a region in which the inpatient service has been replaced by the inpatient service from another region in the canton of Zurich, Switzerland, has been analysed.
Within the first two years after the omission of the service the admissions of patients with social health insurance policies from the relative sector decreased significantly as compared to the rest of the canton. In contrast to this, admissions of patients with private health insurances from the relative region and from the rest of the canton increased in a similar way.
It can be stated that in the first time after a reduction of inpatient capacities patients with social health insurance policies do not use inpatient alternatives even when these are easily accessible. This finding is meaningful for the arrangement of alternative offers for this very large group of patients in psychiatric health care planning.
除社会经济因素外，主观需求、政治和卫生经济方面在精神科机构规划中也起着重要作用。本研究的目的是评估住院能力降低对精神科住院治疗使用情况的影响。
对瑞士苏黎世州一个地区的住院患者入院情况进行了分析，该地区的住院服务已被该州另一个地区的住院服务所取代。
在取消该服务后的头两年内，与该州其他地区相比，相关部门拥有社会医疗保险政策的患者入院人数显著减少。与此形成对比的是，来自相关地区和该州其他地区的拥有私人医疗保险的患者入院人数以类似方式增加。
可以说，在住院能力降低后的首次情况中，拥有社会医疗保险政策的患者即使在住院替代方案易于获得的情况下也不使用这些替代方案。这一发现对于在精神科医疗规划中为这一非常庞大的患者群体安排替代服务具有重要意义。
