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住院精神科护理模式的地区差异。

Regional variation in patterns of inpatient psychiatric care.

作者信息

Rosenheck R, Astrachan B

机构信息

Northeast Program Evaluation Center, West Haven VA Medical Center, Conn.

出版信息

Am J Psychiatry. 1990 Sep;147(9):1180-3. doi: 10.1176/ajp.147.9.1180.

Abstract

Regional variation in both average length of stay and number of beds per 100,000 population is described for inpatient psychiatric care in the United States during 1983. The greatest differences were between the Northeast and Mid-Atlantic regions, on the one hand, and the Pacific and Southwest regions, on the other. Medical centers of the U.S. Department of Veterans Affairs (VA), whose policies are largely centrally determined, followed the same regional trends. Regional average length of stay, particularly in public sector mental health care organizations, was higher in regions with more occupied beds per 100,000 population.

摘要

本文描述了1983年美国住院精神科护理中平均住院时长和每10万人口病床数的地区差异。一方面,东北部和大西洋中部地区与另一方面的太平洋和西南部地区之间存在最大差异。美国退伍军人事务部(VA)的医疗中心,其政策在很大程度上由中央决定,也遵循相同的地区趋势。在每10万人口中占用病床较多的地区,地区平均住院时长,特别是在公共部门精神卫生保健组织中,更高。

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