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澳大利亚私立精神病院治疗:病例组合和结果的描述性分析。

Private psychiatric hospital care in Australia: a descriptive analysis of casemix and outcomes.

机构信息

Academic Unit of Psychiatry and Addiction Medicine, The Australian National University Medical School, Canberra Hospital, Canberra, ACT, Australia; Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; and Private Psychiatry, Canberra, ACT, Australia.

Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; and Department of Psychiatry, Monash University, Clayton, VIC, Australia.

出版信息

Australas Psychiatry. 2022 Apr;30(2):174-178. doi: 10.1177/10398562211051252. Epub 2021 Nov 27.

DOI:10.1177/10398562211051252
PMID:34839742
Abstract

OBJECTIVE

To provide a rapid clinical update on casemix, average length of stay, and the effectiveness of Australian private psychiatric hospitals.

METHODS

We conducted a descriptive analysis of the publicly available patient data from the Australian Private Hospitals Association Private Psychiatric Hospitals Data Reporting and Analysis Service website, from 2015-2016 to 2019-2020. This was compared with corresponding reporting on public and private hospitals from the Australian Institute of Health and Welfare, and Australian Mental Health Outcomes and Classification Network.

RESULTS

In 2019-2020, there were 72 private psychiatric hospitals in Australia with 3582 acute beds. There were 42,942 inpatients with 1,286,470 days of care, and a mean length of stay 19.6 days (SD 13.9) for the financial year 2019-2020. The main diagnoses were major affective and other mood disorders (49%), and alcohol and other substance abuse disorders (21%). Clinician-rated outcome measures, that is, the HoNOS, showed an improvement effect size of 1.64, while the patient-rated MHQ-14 showed an improvement effect size of 1.18. Results are similar for previous years.

CONCLUSIONS

Private psychiatric hospitals provide substantial, effective psychiatric care.

摘要

目的

快速提供澳大利亚私立精神病院病例组合、平均住院时间和疗效的临床最新信息。

方法

我们对澳大利亚私立医院协会私立精神病院数据报告和分析服务网站 2015-2016 年至 2019-2020 年期间公开的患者数据进行了描述性分析。并将其与澳大利亚卫生和福利研究所及澳大利亚精神健康结果和分类网络对公立和私立医院的相应报告进行了比较。

结果

2019-2020 年,澳大利亚有 72 家私立精神病院,拥有 3582 张急性病床。该财政年度共有 42942 名住院患者,住院 1286470 天,平均住院时间为 19.6 天(标准差 13.9)。主要诊断为主要情感和其他情绪障碍(49%)和酒精和其他物质滥用障碍(21%)。临床医生评定的结果衡量标准,即 HoNOS,显示出 1.64 的改善效果量,而患者评定的 MHQ-14 则显示出 1.18 的改善效果量。前几年的结果也类似。

结论

私立精神病院提供大量有效的精神科护理。

相似文献

1
Private psychiatric hospital care in Australia: a descriptive analysis of casemix and outcomes.澳大利亚私立精神病院治疗:病例组合和结果的描述性分析。
Australas Psychiatry. 2022 Apr;30(2):174-178. doi: 10.1177/10398562211051252. Epub 2021 Nov 27.
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Casemix and affective disorders: a comparison of private and public psychiatric systems.病例组合与情感障碍:私立和公立精神科系统的比较
Aust N Z J Psychiatry. 1996 Aug;30(4):511-5. doi: 10.3109/00048679609065025.
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Aust Health Rev. 2000;23(3):162-70. doi: 10.1071/ah000162a.
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Disability, outcome and case-mix in acute psychiatric in-patient units.急性精神科住院病房中的残疾、治疗结果及病例组合
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Measuring mental health outcomes in a private psychiatric clinic: Health of the Nation Outcome Scales and Medical Outcomes Short Form SF-36.在一家私立精神病诊所测量心理健康结果:《国家健康结果量表》和《医学结果简表SF - 36》
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Audit of antipsychotic prescribing in a private psychiatric hospital.一家私立精神病医院抗精神病药物处方审核
Australas Psychiatry. 2004 Sep;12(3):227-33. doi: 10.1080/j.1039-8562.2004.02099.x.
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Specialised psychiatric beds and 24-hour residential care in Australia 2018-2019 - Comparative analysis and commentary according to international benchmarking.澳大利亚 2018-2019 年的精神科专科病床和 24 小时住院护理 - 根据国际基准比较分析和评论。
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Aust N Z J Psychiatry. 1999 Jun;33(3):379-84. doi: 10.1046/j.1440-1614.1999.00582.x.
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A casemix for mental health services: the development of the mental health and substance abuse components of the Australian national diagnosis-related groups.心理健康服务的病例组合:澳大利亚国家诊断相关组中心理健康与药物滥用部分的发展
Aust N Z J Psychiatry. 1996 Aug;30(4):450-6. doi: 10.3109/00048679609065016.

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