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论精神病医院地理位置对入院率和住院时长的重要性(作者译)

[On the importance of the geographical position of psychiatric hospitals for the admission rates and hospitalization period (author's transl)].

作者信息

Weyerer S, Dilling H

出版信息

Psychiatr Prax. 1978 Feb;5(1):58-64.

PMID:643980
Abstract

Rates of admission, duration of hospitalization, chances of discharge and legal basis of admissions are analyzed with reference to the distances between the patients' domiciles and the hospital, basing on the figures which apply to the district hospitals Gabersee in Upper Bavaria. More patients from nearby are admitted, and also given long-term treatment, than from the more distant zones; in the long run, chances of discharge are not more favorable for patients living nearby; there is no variation regarding the share of voluntary admissions in relation to the distances between the respective domiciles and the hospital. These results show that there must be increased cooperation between hospitals or wards for inpatients, partial inpatients, and outpatients, in view of the expected increased hospitalization frequency in future psychiatric practice located in the immediate vicinity of the individual districts. Under no circumstances should it happen that instead of the expected saving in the number of hospital beds, the overall capacity of the hospitals is increased.

摘要

参考上巴伐利亚州加伯湖地区医院的数据,分析了患者住所与医院之间的距离对住院率、住院时长、出院几率以及住院的法律依据的影响。与距离较远地区的患者相比,附近地区有更多患者入院并接受长期治疗;从长远来看,住在附近的患者出院几率并无更大优势;自愿住院患者比例与各自住所和医院之间的距离无关。这些结果表明,鉴于未来精神病治疗中预计在各个地区附近住院频率会增加,医院之间或针对住院患者、部分住院患者和门诊患者的病房之间必须加强合作。在任何情况下,都不应出现医院总容量增加而不是如预期那样节省病床数量的情况。

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