Izvorni znanstveni članak
Revolving-door Patients in a Public Psychiatric Hospital in Israel: Cross Sectional Study
Igor Oyffe
; Lev Hasharon Mental Health Center, Netanya, Israel
Rena Kurs
; Lev Hasharon Mental Health Center, Netanya, Israel
Marc Gelkopf
; Department of Community Mental Health, Universiity of Haifa, Haifa, Israel
Yuval Melamed
; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
Avi Bleich
; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
Sažetak
Aim To study social, demographic, clinical, and forensic
profiles of frequently re-hospitalized (revolving-door) psychiatric
patients.
Methods The study included all patients (n = 183) who
were admitted to our hospital 3 or more times during a 2-
year period from 1999 through 2000. We compared these
patients to 2 control groups of patients who were admitted
to our hospital in the same period. For comparison
of forensic data, we compared them with all non revolving-
door patients (n = 1056) registered in the computerized
hospital database and for comparison of medical and
clinical data we compared them with a random sample of
non revolving-door patients (n = 98). The sample was sufficiently
large to yield high statistical power (above 98%). We
collected data on the legal status of the hospitalizations
(voluntary or involuntary) and social, demographic, clinical,
and forensic information from the forensic and medical records
of revolving-door and non revolving-door patients.
Results In the period 1999-2000, 183 revolving-door patients
accounted for 771 (37.8%, 4.2 admissions per patient)
and 1056 non revolving-door patients accounted for
1264 (62.5%, 1.2 admissions per patient) of the 2035 admissions
to our hospital. Involuntary hospitalizations accounted
for 23.9% of revolving-door and 76.0% of non revolvingdoor
admissions. Revolving-door patients had significantly
shorter mean interval between hospitalizations, showed
less violence, and were usually discharged contrary to
medical advice. We found no differences in sex, marital status,
age, ethnicity, diagnoses, illegal drug and alcohol use,
or previous suicide-attempts between the groups.
Conclusions Revolving-door patients are not necessarily
hospitalized for longer time periods and do not have more
involuntarily admissions. The main difference between revolving-
door and non revolving-door patients is greater
self-management of the hospitalization process by shortening
the time between voluntary re-admission and discharge
against medical advice.
Ključne riječi
hospitalization; patient readmission; patient discharge; length of stay; hospitalphilia; inpatients
Hrčak ID:
48556
URI
Datum izdavanja:
15.12.2009.
Posjeta: 1.821 *