长期强制住院精神病人的特征及费用。
Profile and costs involved in long-term compulsory hospitalization of psychiatric patients.
机构信息
Departamento de Psiquiatria, Universidade Metropolitana de Santos (UNIMES), Santos, SP, Brazil.
Programa de Pós-Graduação em Ciências da Saúde, UNIMES, Santos, SP, Brazil.
出版信息
Braz J Psychiatry. 2018 Jul-Sep;40(3):306-308. doi: 10.1590/1516-4446-2017-2243. Epub 2017 Dec 18.
OBJECTIVE
Involuntary hospitalization for acute psychiatry cases can be acceptable when there is potential harm. However, there are few reasons for a patient committed on these grounds to stay in an institution for a long period. The objective of the present study was to identify the profile and costs of compulsory hospitalizations over 20 days in a public psychiatric hospital in the coastal region of the state of São Paulo.
METHODS
Retrospective data were collected from the medical records of 1,064 patients admitted between July 2013 and June 2016 from an intensive mental healthcare unit in Santos, state of São Paulo, Brazil.
RESULTS
Records were found of 527 patients who had been hospitalized for at least 21 days during the study period. Long-term hospitalization related to judicial mandates represented 5.9% of the total sample. These patients stayed in the hospital for an average period of 142 days, while patients hospitalized for any other reason stayed an average period of 35 days (p < 0.001). The cost of a long-term court-ordered hospitalization averaged US$ 21,311 per patient.
CONCLUSION
Judicial mandate has been an important reason for the long-term hospitalization of chronic psychiatric patients in Santos, Brazil.
目的
在存在潜在危害的情况下，对急性精神病患者进行非自愿住院治疗是可以接受的。然而，由于这些原因而被强制住院的患者很少有长期住院的理由。本研究的目的是确定在巴西圣保罗沿海地区的一家公立精神病院，超过 20 天的强制住院的患者特征和费用。
方法
从 2013 年 7 月至 2016 年 6 月期间，巴西圣保罗州桑托斯市一家强化精神保健病房收治的 1064 名患者的病历中收集了回顾性数据。
结果
研究期间发现有 527 名患者的住院时间至少为 21 天。与司法命令相关的长期住院占总样本的 5.9%。这些患者平均住院 142 天，而因其他任何原因住院的患者平均住院 35 天（p<0.001）。长期法院命令强制住院的每位患者的费用平均为 21311 美元。
结论
在巴西桑托斯，司法命令是慢性精神病患者长期住院的一个重要原因。
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