J Korean Neuropsychiatr Assoc.
2006 Jul;45(4):372-381.
Length of Stay of Psychiatric Patient and Its Correlate in Mental Health-related Facilities
- Affiliations
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- 1Department of Psychiatry, Gachon University of Medicne and Science Gil Medical Center, Incheon, Korea.
- 2Department of Psychiatry, Gachon University of Medicne and Science Gil Medical Center, Incheon, Korea. mjcho@plaza.snu.ac.kr
- 3Department of Health Policy and Management, College of Medicine, Seoul National University, Seoul, Korea.
- 4Division of Health Policy Research, Korea Institute for Health and Social Affairs, Seoul, Korea.
- 5Department of Psychiatry, College of Medicine, Korea University, Seoul, Korea.
Abstract
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OBJECT: This study was aimed to find the contributing factors that influence the length of stay in mental health related facilities and to present future direction for the mental health policy.
METHODS
The 1,875 patients who are aged between eighteen and sixty-five are chosen by the stratified random sampling from ten psychiatric hospitals, six psychiatric nursing facilities and five homeless asylums. We investigate about length of stay of all subjects by sociodemographic characteristics, socioeconomic status, functional status, disease related characteristics and analyse contributing factors.
RESULTS
From total subjects, average length of stay was 1,906 days, and facilities, where subjects are institutionalized, explains 40% of length of stay. Other related factors are female, old age, single, lack of supportive system before admission and after discharge, medical assistance type I, unavailable of public transportation and utility, long duration of illness, and psychotic disorder.
CONCLUSION
For lowering the rate of long-term hospitalization, evaluation of appropriateness is needed for admission to nursing facility and homeless asylum and make up for the medical payment system and the supportive system from family and community.
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