Gillis L S, Sandler R, Jakoet A, Dickman B
S Afr Med J. 1985 Sep 28;68(7):466-70.
The progressive increase in readmissions to psychiatric hospitals in South Africa is causing concern. Readmissions now amount to 42% of total admissions, and in some cases their number exceeds that of first admissions. The phenomenon has been identified as occurring overwhelmingly among short-stay patients. Factors associated with readmissions have been examined as the first part of an ongoing investigation. Among these are a decline in available beds, an increasing shortage of psychiatric staff, differing readmission rates for different population groups, and the tendency of certain types of psychiatric disorders to relapse more frequently (schizophrenia and affective illness). The inability of the present psychiatric outpatient and community services to lower the readmission rate has been demonstrated. Factors which may have a bearing on the situation such as socio-economic conditions, substance abuse, compliance with medication and rehabilitative services are discussed.
南非精神病医院再入院率的不断上升令人担忧。目前再入院人数占总入院人数的42%，在某些情况下，其数量超过首次入院人数。这一现象在短期住院患者中极为普遍。作为正在进行的一项调查的第一部分，与再入院相关的因素已得到研究。其中包括可用病床数量减少、精神科工作人员日益短缺、不同人群再入院率不同，以及某些类型的精神疾病（精神分裂症和情感性疾病）复发更为频繁的趋势。目前的精神科门诊和社区服务无法降低再入院率，这一点已得到证实。文中还讨论了可能影响这一情况的因素，如社会经济状况、药物滥用、药物依从性和康复服务等。
