题名

Factors Associated with High-frequency Users of Psychiatric Services in a Public Psychiatric Hospital in Taiwan

并列篇名

某精神科專科醫院病人高頻率住院相關因素探討

DOI

10.29478/TJP.201209.0006

作者

鄭凱仁(Kai-Jen Cheng);江國棟(Kuo-Tung Chiang);張玉坤(Yue-Cune Chang);張國榮(Kuo-Jung Chang);何佩駪(Pei-Shen Ho)

关键词

revolving door ; psychiatric readmission ; inpatient care

期刊名称

台灣精神醫學

卷期/出版年月

26卷3期(2012 / 09 / 01)

页次

187 - 196

内容语文

英文

英文摘要

Objective: The purpose of this study was to explore factors associated with high-frequency users (HFUs) of psychiatric inpatient services in Taiwan compared with low-frequency users (LFUs), focusing on their social, demographic, clinical and service-related profiles. Methods: A random sample of 10% (n=109) of all subjects admitted to Beitou Armed Forces Hospital, in Taipei, Taiwan, from January 2008 to December 2010 were divided into HFUs (n=38) and LFUs (n=71) in accordance with modified Weiden's criteria. We collected data from medical records of HFUs and LFUs to assess the impact of the profiles on the patterns of hospitalization. Results: According to these criteria, 34.9% of the study population were HFUs. Logistic regression analyses indicated that community-based outpatient services were significantly associated with decreasingly more frequent readmissions (p<0.05). A Poisson regression model showed shorter mean length of each admission (p<0.001), a diagnosis of psychotic disorder due to general medical condition (p<0.001), suicidal behavior (p<0.05) and educational level lower than senior high school (p<0.01) to be the significant predictors of HFUs. Conclusions: The most important factors related to frequency of hospitalization were community-based outpatient services, shorter mean length of each admission, a diagnosis of psychotic disorder due to general medical condition, suicidal behavior, and educational level lower than senior high school. The mental health system should therefore provide better resources to these patients to reduce hospitalization rates.

主题分类 醫藥衛生 > 社會醫學
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被引用次数
  1. Lin, Chih-Ming,Li,Chung-Yi(2014).Service-related Factors Associated with the Risk of Readmission after Discharge from Psychiatric Hospitalization-Data from Large Psychiatric Hospital in Northern Taiwan.台灣精神醫學,28(3),171-180.
  2. 游淑真(2017)。從旋轉門效應來看精神疾患者的社區照顧服務。社會工作實務與研究學刊,5,59-98。
  3. 游淑真(2019)。康復之家精神疾患者之再住院影響因素。台灣健康照顧研究學刊,19,51-77。
  4. 周煌智(2012).Factors Associated with High-frequency Users of Psychiatric Service in a Public Psychiatric Hospital in Taiwan Hypofunction for Schizophrenia.台灣精神醫學,26(3),145-146.