Characteristics of short-stay admissions to a psychiatric inpatient service
Since the rapid expansion of managed care coupled with dramatic reductions in lengths of inpatient stay, there is widespread concern that the emphasis on cost containment is eclipsing attention to patient care. The present study was undertaken to evaluate speculations that the majority of short-stay...
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| Veröffentlicht in: | The journal of behavioral health services & research 1998-08, Vol.25 (3), p.337-345 |
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| creator | Yohanna, D Christopher, N J Lyons, J S Miller, S I Slomowitz, M Bultema, J K |
| description | Since the rapid expansion of managed care coupled with dramatic reductions in lengths of inpatient stay, there is widespread concern that the emphasis on cost containment is eclipsing attention to patient care. The present study was undertaken to evaluate speculations that the majority of short-stay (less than 48 hours) admissions to a psychiatric inpatient service at a large teaching hospital in the midwestern United States consisted of public pay patients who were rapidly transferred to area state hospitals. Using two cases mix measures, severity of illness and changes in acuity and clinical outcomes of a sample of short-stay (n = 77) and longer stay (n = 145) admissions were compared. Short-stay admissions, although similar to longer stay patients in terms of demographics, Axis I diagnosis, payer status, and appropriateness of admission, are clinically distinct. The use of nonhospital alternatives in treating a subsample of suicidal patients and the implications for improved mental health services delivery are discussed. |
| doi_str_mv | 10.1007/BF02287472 |
| format | Article |
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The present study was undertaken to evaluate speculations that the majority of short-stay (less than 48 hours) admissions to a psychiatric inpatient service at a large teaching hospital in the midwestern United States consisted of public pay patients who were rapidly transferred to area state hospitals. Using two cases mix measures, severity of illness and changes in acuity and clinical outcomes of a sample of short-stay (n = 77) and longer stay (n = 145) admissions were compared. Short-stay admissions, although similar to longer stay patients in terms of demographics, Axis I diagnosis, payer status, and appropriateness of admission, are clinically distinct. The use of nonhospital alternatives in treating a subsample of suicidal patients and the implications for improved mental health services delivery are discussed.</description><identifier>ISSN: 1094-3412</identifier><identifier>EISSN: 1556-3308</identifier><identifier>DOI: 10.1007/BF02287472</identifier><identifier>PMID: 9685752</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Admissions ; Adult ; Characteristics ; Clinical outcomes ; Crisis Intervention - standards ; Diagnosis-Related Groups ; Emergency medical care ; Female ; Health care delivery ; Health care policy ; Health Services Research ; Hospitalization ; Hospitals, State ; Hospitals, Teaching ; Humans ; Inpatient care ; Length of Stay - statistics & numerical data ; Male ; Managed care ; Managed Care Programs - standards ; Medicaid ; Mental disorders ; Mental health ; Mental Health Services - utilization ; Midwestern United States ; Midwestern USA ; Outcome Assessment (Health Care) ; Patient Admission - statistics & numerical data ; Patient Selection ; Patient Transfer ; Patients ; Psychiatric Department, Hospital - utilization ; Psychiatric units ; Psychiatrists ; Psychiatry ; Severity of Illness Index ; Social workers ; Socioeconomic factors ; Socioeconomic status ; Statistical analysis ; Studies ; Teaching hospitals</subject><ispartof>The journal of behavioral health services & research, 1998-08, Vol.25 (3), p.337-345</ispartof><rights>Copyright Sage Publications, Inc. Aug 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-d443d85fa686d53a4362881857223e932863254b251ba3e310e2dee20a133c673</citedby><cites>FETCH-LOGICAL-c340t-d443d85fa686d53a4362881857223e932863254b251ba3e310e2dee20a133c673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,12846,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9685752$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yohanna, D</creatorcontrib><creatorcontrib>Christopher, N J</creatorcontrib><creatorcontrib>Lyons, J S</creatorcontrib><creatorcontrib>Miller, S I</creatorcontrib><creatorcontrib>Slomowitz, M</creatorcontrib><creatorcontrib>Bultema, J K</creatorcontrib><title>Characteristics of short-stay admissions to a psychiatric inpatient service</title><title>The journal of behavioral health services & research</title><addtitle>J Behav Health Serv Res</addtitle><description>Since the rapid expansion of managed care coupled with dramatic reductions in lengths of inpatient stay, there is widespread concern that the emphasis on cost containment is eclipsing attention to patient care. The present study was undertaken to evaluate speculations that the majority of short-stay (less than 48 hours) admissions to a psychiatric inpatient service at a large teaching hospital in the midwestern United States consisted of public pay patients who were rapidly transferred to area state hospitals. Using two cases mix measures, severity of illness and changes in acuity and clinical outcomes of a sample of short-stay (n = 77) and longer stay (n = 145) admissions were compared. Short-stay admissions, although similar to longer stay patients in terms of demographics, Axis I diagnosis, payer status, and appropriateness of admission, are clinically distinct. The use of nonhospital alternatives in treating a subsample of suicidal patients and the implications for improved mental health services delivery are discussed.</description><subject>Admissions</subject><subject>Adult</subject><subject>Characteristics</subject><subject>Clinical outcomes</subject><subject>Crisis Intervention - standards</subject><subject>Diagnosis-Related Groups</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Health care delivery</subject><subject>Health care policy</subject><subject>Health Services Research</subject><subject>Hospitalization</subject><subject>Hospitals, State</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Managed care</subject><subject>Managed Care Programs - standards</subject><subject>Medicaid</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental Health Services - utilization</subject><subject>Midwestern United States</subject><subject>Midwestern USA</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Admission - statistics & numerical data</subject><subject>Patient Selection</subject><subject>Patient Transfer</subject><subject>Patients</subject><subject>Psychiatric Department, Hospital - utilization</subject><subject>Psychiatric units</subject><subject>Psychiatrists</subject><subject>Psychiatry</subject><subject>Severity of Illness Index</subject><subject>Social workers</subject><subject>Socioeconomic factors</subject><subject>Socioeconomic status</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Teaching 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| ispartof | The journal of behavioral health services & research, 1998-08, Vol.25 (3), p.337-345 |
| issn | 1094-3412 1556-3308 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals; EBSCOhost Business Source Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Admissions Adult Characteristics Clinical outcomes Crisis Intervention - standards Diagnosis-Related Groups Emergency medical care Female Health care delivery Health care policy Health Services Research Hospitalization Hospitals, State Hospitals, Teaching Humans Inpatient care Length of Stay - statistics & numerical data Male Managed care Managed Care Programs - standards Medicaid Mental disorders Mental health Mental Health Services - utilization Midwestern United States Midwestern USA Outcome Assessment (Health Care) Patient Admission - statistics & numerical data Patient Selection Patient Transfer Patients Psychiatric Department, Hospital - utilization Psychiatric units Psychiatrists Psychiatry Severity of Illness Index Social workers Socioeconomic factors Socioeconomic status Statistical analysis Studies Teaching hospitals |
| title | Characteristics of short-stay admissions to a psychiatric inpatient service |
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