Length of stay of general psychiatric inpatients in the United States: systematic review.

Hdl Handle:
http://hdl.handle.net/10147/128725
Title:
Length of stay of general psychiatric inpatients in the United States: systematic review.
Authors:
Tulloch, Alex D; Fearon, Paul; David, Anthony S
Affiliation:
Department of Psychiatry, Institute of Psychiatry, Kings College London, De Crespigny Park, London, SE5 8AF, UK, alexander.d.tulloch@kcl.ac.uk.
Citation:
Length of stay of general psychiatric inpatients in the United States: systematic review. 2011, 38 (3):155-68 Adm Policy Ment Health
Journal:
Administration and policy in mental health
Issue Date:
May-2011
URI:
http://hdl.handle.net/10147/128725
DOI:
10.1007/s10488-010-0310-3
PubMed ID:
20924662
Additional Links:
DOI: 10.1007/s10488-010-0310-3
Abstract:
Psychiatric length of stay (LOS) has reduced but is still longer than for physical disorders. Inpatient costs are 16% of total mental health spending. Regression analyses of the determinants of LOS for US adult psychiatric inpatients were systematically reviewed. Most studies predated recent LOS reductions. Psychosis, female gender and larger hospital size were associated with longer LOS, while discharge against medical advice, prospective payment, being married, being detained and either younger or middle age were associated with shorter LOS. Associations appeared consistent, especially where sample size was above 3,000. Updated studies should be adequately powered and include the variables above.
Item Type:
Article In Press
Language:
en
ISSN:
1573-3289

Full metadata record

DC FieldValue Language
dc.contributor.authorTulloch, Alex Den
dc.contributor.authorFearon, Paulen
dc.contributor.authorDavid, Anthony Sen
dc.date.accessioned2011-04-27T10:29:26Z-
dc.date.available2011-04-27T10:29:26Z-
dc.date.issued2011-05-
dc.identifier.citationLength of stay of general psychiatric inpatients in the United States: systematic review. 2011, 38 (3):155-68 Adm Policy Ment Healthen
dc.identifier.issn1573-3289-
dc.identifier.pmid20924662-
dc.identifier.doi10.1007/s10488-010-0310-3-
dc.identifier.urihttp://hdl.handle.net/10147/128725-
dc.description.abstractPsychiatric length of stay (LOS) has reduced but is still longer than for physical disorders. Inpatient costs are 16% of total mental health spending. Regression analyses of the determinants of LOS for US adult psychiatric inpatients were systematically reviewed. Most studies predated recent LOS reductions. Psychosis, female gender and larger hospital size were associated with longer LOS, while discharge against medical advice, prospective payment, being married, being detained and either younger or middle age were associated with shorter LOS. Associations appeared consistent, especially where sample size was above 3,000. Updated studies should be adequately powered and include the variables above.-
dc.language.isoenen
dc.relation.urlDOI: 10.1007/s10488-010-0310-3en
dc.titleLength of stay of general psychiatric inpatients in the United States: systematic review.en
dc.typeArticle In Pressen
dc.contributor.departmentDepartment of Psychiatry, Institute of Psychiatry, Kings College London, De Crespigny Park, London, SE5 8AF, UK, alexander.d.tulloch@kcl.ac.uk.en
dc.identifier.journalAdministration and policy in mental healthen
dc.description.provinceLeinster-
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