정신보건관련시설 입원 및 수용환자의 재원기간 영향요인

• 영문명: Influencing Factors on Length of Stay of Psychiatric Patients in Mental Health-related Facilities
• 발행기관: 대한신경정신의학회
• 저자명: 서동우 이영문 홍진표 조성진 이준영 이선영 함봉진
• 간행물 정보: 『신경정신의학』제42권 제6호, 761~770쪽, 전체 10쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2003.11.30

영문 초록

Objectives：The objective of this study was to explore the explanatory factors on the length of stay of psychiatric patients in various mental health-related facilities. Methods：Subjects in this study were consisted of 1,028 psychiatric patients staying in 22 mental health-related facilities randomly sampled after proportional stratification by regions. The subjects in 22 mental health-related facilities including psychiatric hospitals/clinics, psychiatric welfare facilities, welfare facilities for homeless, and illegal institutions were interviewed by psychiatrists and social workers with clinical experience. Demographic characteristics, socioeconomic support,diagnosis/history of illness, clinical symptom/functional disability and type of facilities were investigated and included in the multiple regression models to examine their influence on the length of stay. Results：Two thirds of total variance of length of stay were explained by the independent variables in this study, and the type of facilities had the most explanatory power. In addition to type of facilities, sex, age, economic status, type of medical security, familial support, living condition before admission, diagnosis, dual diagnosis, age of onset of illness and number of admissions were significant explanatory factors. Conclusion：This study provides bases for specific strategies to develop efficient mental health facilities and community mental health system by disclosing the important explanatory factors for length of stay.

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키워드

Length of stay Mental health facility Longterm hospitalization Mental health policy