Clinical outcomes and length of stay of a co-located psychogeriatric and geriatric unit
Abstract To examine the effect of co-location of psychogeriatric and geriatric services on length of stay and changes in patients’ psychosocial characteristics. A retrospective analysis of the performance indices of psychogeriatric patients aged ≥50 years admitted to a co-located psychogeriatric and...
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Veröffentlicht in: | Archives of gerontology and geriatrics 2009-09, Vol.49 (2), p.233-236 |
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creator | Chiu, Amanda Nguyen, Huong V Reutens, Sharon Grace, David Schmidtman, Robert Shen, Qing Chen, Jack Chan, Daniel K.Y |
description | Abstract To examine the effect of co-location of psychogeriatric and geriatric services on length of stay and changes in patients’ psychosocial characteristics. A retrospective analysis of the performance indices of psychogeriatric patients aged ≥50 years admitted to a co-located psychogeriatric and geriatric unit at Bankstown-Lidcombe Hospital, New South Wales (NSW), Australia from April 2004 to June 2006. Comparisons were made between the performance of the Bankstown-Lidcombe’s unit and the NSW state average (consisting of traditional solitary models of care) with respect to patients’ length of stay (LOS) and changes in psychosocial indices. Bankstown’s patients had a higher burden of psychosocial impairments. The mean LOS for psychogeriatric episodes was significantly shorter at Bankstown-Lidcombe Hospital than the NSW state average (28.3 ± 19.6 days vs. 33.4 ± 22.7 days, p < 0.001). The overall improvement in aspects of mental state and social behaviors for psychogeriatric admissions at Bankstown-Lidcombe Hospital was significantly better than the NSW state average. Co-location of psychogeriatric and geriatric services reduced patients’ LOS and improved psychosocial performance compared to traditional models of care. However, more robust studies are required to fully examine the benefits of this type of service. |
doi_str_mv | 10.1016/j.archger.2008.08.008 |
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A retrospective analysis of the performance indices of psychogeriatric patients aged ≥50 years admitted to a co-located psychogeriatric and geriatric unit at Bankstown-Lidcombe Hospital, New South Wales (NSW), Australia from April 2004 to June 2006. Comparisons were made between the performance of the Bankstown-Lidcombe’s unit and the NSW state average (consisting of traditional solitary models of care) with respect to patients’ length of stay (LOS) and changes in psychosocial indices. Bankstown’s patients had a higher burden of psychosocial impairments. The mean LOS for psychogeriatric episodes was significantly shorter at Bankstown-Lidcombe Hospital than the NSW state average (28.3 ± 19.6 days vs. 33.4 ± 22.7 days, p < 0.001). The overall improvement in aspects of mental state and social behaviors for psychogeriatric admissions at Bankstown-Lidcombe Hospital was significantly better than the NSW state average. Co-location of psychogeriatric and geriatric services reduced patients’ LOS and improved psychosocial performance compared to traditional models of care. 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A retrospective analysis of the performance indices of psychogeriatric patients aged ≥50 years admitted to a co-located psychogeriatric and geriatric unit at Bankstown-Lidcombe Hospital, New South Wales (NSW), Australia from April 2004 to June 2006. Comparisons were made between the performance of the Bankstown-Lidcombe’s unit and the NSW state average (consisting of traditional solitary models of care) with respect to patients’ length of stay (LOS) and changes in psychosocial indices. Bankstown’s patients had a higher burden of psychosocial impairments. The mean LOS for psychogeriatric episodes was significantly shorter at Bankstown-Lidcombe Hospital than the NSW state average (28.3 ± 19.6 days vs. 33.4 ± 22.7 days, p < 0.001). The overall improvement in aspects of mental state and social behaviors for psychogeriatric admissions at Bankstown-Lidcombe Hospital was significantly better than the NSW state average. Co-location of psychogeriatric and geriatric services reduced patients’ LOS and improved psychosocial performance compared to traditional models of care. However, more robust studies are required to fully examine the benefits of this type of service.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Elderly people</subject><subject>Geriatric psychiatry</subject><subject>Geriatric wards</subject><subject>Health Services for the Aged - organization & administration</subject><subject>Hospital Units</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Length of Stay</subject><subject>Mental Disorders - therapy</subject><subject>Mental health during aging</subject><subject>Psychiatric Department, Hospital - organization & administration</subject><subject>Psychogeriatric service</subject><subject>Psychosocial factors</subject><subject>Retrospective Studies</subject><issn>0167-4943</issn><issn>1872-6976</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU9r3DAQxUVp6G7-fIQGn3rzdmTLknxJCUuTFgI9JKVHIcvjXW291laSC_vtI2cNgVwCDwbB782I9wj5TGFFgfKvu5X2ZrtBvyoA5GoSyA9kSaUocl4L_pEsEydyVrNyQc5D2AEAg4J_IgsqEyCLckn-rHs7WKP7zI3RuD2GTA9t1uOwidvMdVmI-jhNnRmX987oiG12CEezdem41dFb82J5fY2DjZfkrNN9wKt5XpDfd9-f1j_yh1_3P9e3D7lhrI65YLSsuMCOQg1tXfEkU9RdO_2w0RSbJF61hW5qRA2GU96UnKLEokNWlRfky2nvwbt_I4ao9jYY7Hs9oBuD4oIJAUy8C1aihFJWNIHVCTTeheCxUwdv99ofFQU1Ra92ao5eTdGrSSCT73o-MDZ7bF9dc9YJ-HYCMOXx3yZ7MBYHg631aKJqnX33xM2bDWZu7y8eMezc6IcUtqIqFArU49T_VD9IACooK58BQGasnQ</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Chiu, Amanda</creator><creator>Nguyen, Huong V</creator><creator>Reutens, Sharon</creator><creator>Grace, David</creator><creator>Schmidtman, Robert</creator><creator>Shen, Qing</creator><creator>Chen, Jack</creator><creator>Chan, Daniel K.Y</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20090901</creationdate><title>Clinical outcomes and length of stay of a co-located psychogeriatric and geriatric unit</title><author>Chiu, Amanda ; Nguyen, Huong V ; Reutens, Sharon ; Grace, David ; Schmidtman, Robert ; Shen, Qing ; Chen, Jack ; Chan, Daniel K.Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-7413567ef1090d956956c29fd1897ba1eb1eb65d2ab9eea0c616b361e8e2fe453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Elderly people</topic><topic>Geriatric psychiatry</topic><topic>Geriatric wards</topic><topic>Health Services for the Aged - organization & administration</topic><topic>Hospital Units</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Length of Stay</topic><topic>Mental Disorders - therapy</topic><topic>Mental health during aging</topic><topic>Psychiatric Department, Hospital - organization & administration</topic><topic>Psychogeriatric service</topic><topic>Psychosocial factors</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiu, Amanda</creatorcontrib><creatorcontrib>Nguyen, Huong V</creatorcontrib><creatorcontrib>Reutens, Sharon</creatorcontrib><creatorcontrib>Grace, David</creatorcontrib><creatorcontrib>Schmidtman, Robert</creatorcontrib><creatorcontrib>Shen, Qing</creatorcontrib><creatorcontrib>Chen, Jack</creatorcontrib><creatorcontrib>Chan, Daniel K.Y</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiu, Amanda</au><au>Nguyen, Huong V</au><au>Reutens, Sharon</au><au>Grace, David</au><au>Schmidtman, Robert</au><au>Shen, Qing</au><au>Chen, Jack</au><au>Chan, Daniel K.Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical outcomes and length of stay of a co-located psychogeriatric and geriatric unit</atitle><jtitle>Archives of gerontology and geriatrics</jtitle><addtitle>Arch Gerontol Geriatr</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>49</volume><issue>2</issue><spage>233</spage><epage>236</epage><pages>233-236</pages><issn>0167-4943</issn><eissn>1872-6976</eissn><abstract>Abstract To examine the effect of co-location of psychogeriatric and geriatric services on length of stay and changes in patients’ psychosocial characteristics. A retrospective analysis of the performance indices of psychogeriatric patients aged ≥50 years admitted to a co-located psychogeriatric and geriatric unit at Bankstown-Lidcombe Hospital, New South Wales (NSW), Australia from April 2004 to June 2006. Comparisons were made between the performance of the Bankstown-Lidcombe’s unit and the NSW state average (consisting of traditional solitary models of care) with respect to patients’ length of stay (LOS) and changes in psychosocial indices. Bankstown’s patients had a higher burden of psychosocial impairments. The mean LOS for psychogeriatric episodes was significantly shorter at Bankstown-Lidcombe Hospital than the NSW state average (28.3 ± 19.6 days vs. 33.4 ± 22.7 days, p < 0.001). The overall improvement in aspects of mental state and social behaviors for psychogeriatric admissions at Bankstown-Lidcombe Hospital was significantly better than the NSW state average. Co-location of psychogeriatric and geriatric services reduced patients’ LOS and improved psychosocial performance compared to traditional models of care. However, more robust studies are required to fully examine the benefits of this type of service.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>18976823</pmid><doi>10.1016/j.archger.2008.08.008</doi><tpages>4</tpages></addata></record> |
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subjects | Aged Aged, 80 and over Elderly people Geriatric psychiatry Geriatric wards Health Services for the Aged - organization & administration Hospital Units Hospitals Humans Internal Medicine Length of Stay Mental Disorders - therapy Mental health during aging Psychiatric Department, Hospital - organization & administration Psychogeriatric service Psychosocial factors Retrospective Studies |
title | Clinical outcomes and length of stay of a co-located psychogeriatric and geriatric unit |
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