与英国伦敦精神科住院服务住院时间相关的因素。
Factors Associated with Length of Stay in Psychiatric Inpatient Services in London, UK.
机构信息
Psychology and Psychotherapy Department, South London and Maudsley NHS Foundation Trust, London, UK.
Biostatistics Department, Institute of Psychiatry, Psychology and Neuroscience at King's College London, London, UK.
出版信息
Psychiatr Q. 2018 Mar;89(1):33-43. doi: 10.1007/s11126-017-9498-7.
Abstract
The purpose of this research was to identify factors associated with lengthy stays in psychiatric hospital in a UK mental health trust. A multiple regression using a multiple imputation method to deal with missing data was performed on inpatient admissions data over a four-year period for 7653 individuals. Factors associated with a longer length of stay included gender (being male), ethnicity (being Asian/Asian British, Black/Black British, or having a mixed background compared to being White/White British), accommodation status (being homeless, or in accommodation with support), primary diagnostic group of psychosis (F20-29), and number of care coordinators. Marital status was not found to be associated with length of stay in this sample. Length of stay is likely to be multifactorially determined, and more similar studies examining factors associated with length of hospital stay are needed to understand the operation of psychiatric services.
摘要
这项研究的目的是确定与英国某心理健康信托机构中精神科住院时间延长相关的因素。对 7653 名患者在四年间的住院数据采用多重插补法处理缺失数据的多元回归分析发现，与住院时间延长相关的因素包括性别（男性）、种族（亚裔/英裔亚裔、黑人/英裔黑人或混血儿，与白种人/英裔白种人相比）、住宿状况（无家可归或有支持的住宿）、精神病的主要诊断组（F20-29）和护理协调员的数量。在该样本中，婚姻状况与住院时间长短无关。住院时间可能是多因素决定的，需要更多类似的研究来探讨与住院时间长短相关的因素，以了解精神科服务的运作情况。
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