- 作者：John Lally ; M.B. ; M.Sc. ; M.R.C.Psych.a ; john.lally@kcl.ac.uk" class="auth_mail" title="E-mail the corresponding author ; Yim Lun Wong ; M.B. ; Ch.B. ; M.R.C.Psych.b ; Hitesh Shetty ; M.Sc.c ; Anita Patel ; Ph.D.d ; Vivek Srivastava ; M.D. ; F.R.C.P. (Glasg)e ; Matthew T.M. Broadbent ; BSc ; MAf ; Fiona Gaughran ; M.B. ; B.Ch. ; B.A.O. ; F.R.C.P.I. ; F.R.C.P. ; F.R.C.Psych. ; M.D.g ; h ; i ;
- 关键词：Severe Mental Illness ; Schizophrenia ; Medical comorbidity ; Physical Health ; Hospital admission
- 刊名：General Hospital Psychiatry
- 出版年：2015
- 出版时间：November-December 2015
- 年：2015
- 卷：37
- 期：6
- 页码：577-580
- 全文大小：199 K
Methods
A retrospective database analysis was performed to ascertain the frequency of acute medical care usage by psychiatric inpatients. Data were gathered through a static linkage between anonymized clinical records in a large UK mental health provider and the national hospital activity database (Hospital Episode Statistics) over 1 year from 2010 to 2011.
Results
Over the year, 10.4% of the 8023 psychiatric admission episodes included at least one night in a general hospital during that psychiatric inpatient stay, while 12.0% of psychiatry admission episodes entailed an emergency department (ED) visit. Over the course of the full year, of the 4674 people admitted to the mental health provider at least once, 16.0% were admitted to a general hospital while registered as a mental health inpatient and 18.0% were seen in the ED. Patients were simultaneously registered as occupying beds in both general and psychiatric hospitals for a total of 5163 bed days at a cost of £2.4 million over the year.
Conclusion
This large population-based linkage study indicates a high rate of general hospital utilization by psychiatric inpatients in an independent mental health provider. The need for combined, flexible and practical approaches to the medical care of psychiatric inpatients is highlighted to reduce unplanned care and provide treatment in the site best suited to the patient's needs.