Haupt D N, Ehrlich S M
Hosp Community Psychiatry. 1980 Nov;31(11):745-51. doi: 10.1176/ps.31.11.745.
Discharges and recidivism rates of 378 admissions in an urban hospital psychiatric unit were studied to investigate the impact of Pennsylvania's changed commitment law on the mentally ill patient. Variables studied for a pre-enactment and a post-enactment group included voluntary or involuntary admission, length of hospital stay, number of patients released against medical advice, rehospitalization within six months after discharge, and continuation of recommended outpatient treatment. Findings revealed that the impact of the new law was felt not by the entire patient population but by patients discharged against medical advice. There was an increase in the proportion of patients discharged AMA; they had shorter lengths of stay and higher rates of recidivism, and they appeared less often for outpatient care.
对一家城市医院精神科病房的378例入院病例的出院率和再入院率进行了研究，以调查宾夕法尼亚州修订后的强制住院法对精神病患者的影响。对法律颁布前和颁布后的两组患者的研究变量包括自愿或非自愿入院、住院时间、违反医嘱出院的患者数量、出院后六个月内再次入院以及推荐的门诊治疗的持续情况。研究结果显示，新法律的影响并非体现在全体患者身上，而是体现在违反医嘱出院的患者身上。违反医嘱出院的患者比例有所增加；他们的住院时间较短，再入院率较高，而且较少接受门诊治疗。
