Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462010000200009 |
Resumo: | OBJECTIVE: Characterize and compare acute psychiatric admissions to the psychiatric wards of a general hospital (22 beds), a psychiatric hospital (80) and of an emergency psychiatry unit (6). METHOD: Survey of the ratios and shares of the demographic, diagnostic and hospitalization variables involved in all acute admissions registered in a catchment area in Brazil between 1998 and 2004. RESULTS: From the 11,208 admissions, 47.8% of the patients were admitted to a psychiatric hospital and 14.1% to a general hospital. The emergency psychiatry unit accounted for 38.1% of all admissions during the period, with a higher variability in occupancy rate and bed turnover during the years. Around 80% of the hospital stays lasted less than 20 days and in almost half of these cases, patients were discharged in 2 days. Although the total number of admissions remained stable during the years, in 2004, a 30% increase was seen compared to 2003. In 2004, bed turnover and occupancy rate at the emergency psychiatry unit increased. CONCLUSION: The increase in the number of psychiatric admissions in 2004 could be attributed to a lack of new community-based services available in the area beginning in 1998. Changes in the health care network did affect the emergency psychiatric service and the limitations of the community-based network could influence the rate of psychiatric admissions. |
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Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
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Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institutionLength of stayHospital carePsychiatric emergency servicesResidence timeDeinstitutionalizationOBJECTIVE: Characterize and compare acute psychiatric admissions to the psychiatric wards of a general hospital (22 beds), a psychiatric hospital (80) and of an emergency psychiatry unit (6). METHOD: Survey of the ratios and shares of the demographic, diagnostic and hospitalization variables involved in all acute admissions registered in a catchment area in Brazil between 1998 and 2004. RESULTS: From the 11,208 admissions, 47.8% of the patients were admitted to a psychiatric hospital and 14.1% to a general hospital. The emergency psychiatry unit accounted for 38.1% of all admissions during the period, with a higher variability in occupancy rate and bed turnover during the years. Around 80% of the hospital stays lasted less than 20 days and in almost half of these cases, patients were discharged in 2 days. Although the total number of admissions remained stable during the years, in 2004, a 30% increase was seen compared to 2003. In 2004, bed turnover and occupancy rate at the emergency psychiatry unit increased. CONCLUSION: The increase in the number of psychiatric admissions in 2004 could be attributed to a lack of new community-based services available in the area beginning in 1998. Changes in the health care network did affect the emergency psychiatric service and the limitations of the community-based network could influence the rate of psychiatric admissions.Associação Brasileira de Psiquiatria2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462010000200009Brazilian Journal of Psychiatry v.32 n.2 2010reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.1590/S1516-44462009005000014info:eu-repo/semantics/openAccessBarros,Régis Eric MaiaMarques,João Mazzoncini de AzevedoCarlotti,Isabela PanzeriZuardi,Antonio WaldoDel-Ben,Cristina Martaeng2010-07-16T00:00:00Zoai:scielo:S1516-44462010000200009Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2010-07-16T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false |
dc.title.none.fl_str_mv |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution |
title |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution |
spellingShingle |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution Barros,Régis Eric Maia Length of stay Hospital care Psychiatric emergency services Residence time Deinstitutionalization |
title_short |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution |
title_full |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution |
title_fullStr |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution |
title_full_unstemmed |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution |
title_sort |
Short admission in an emergency psychiatry unit can prevent prolonged lengths of stay in a psychiatric institution |
author |
Barros,Régis Eric Maia |
author_facet |
Barros,Régis Eric Maia Marques,João Mazzoncini de Azevedo Carlotti,Isabela Panzeri Zuardi,Antonio Waldo Del-Ben,Cristina Marta |
author_role |
author |
author2 |
Marques,João Mazzoncini de Azevedo Carlotti,Isabela Panzeri Zuardi,Antonio Waldo Del-Ben,Cristina Marta |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Barros,Régis Eric Maia Marques,João Mazzoncini de Azevedo Carlotti,Isabela Panzeri Zuardi,Antonio Waldo Del-Ben,Cristina Marta |
dc.subject.por.fl_str_mv |
Length of stay Hospital care Psychiatric emergency services Residence time Deinstitutionalization |
topic |
Length of stay Hospital care Psychiatric emergency services Residence time Deinstitutionalization |
description |
OBJECTIVE: Characterize and compare acute psychiatric admissions to the psychiatric wards of a general hospital (22 beds), a psychiatric hospital (80) and of an emergency psychiatry unit (6). METHOD: Survey of the ratios and shares of the demographic, diagnostic and hospitalization variables involved in all acute admissions registered in a catchment area in Brazil between 1998 and 2004. RESULTS: From the 11,208 admissions, 47.8% of the patients were admitted to a psychiatric hospital and 14.1% to a general hospital. The emergency psychiatry unit accounted for 38.1% of all admissions during the period, with a higher variability in occupancy rate and bed turnover during the years. Around 80% of the hospital stays lasted less than 20 days and in almost half of these cases, patients were discharged in 2 days. Although the total number of admissions remained stable during the years, in 2004, a 30% increase was seen compared to 2003. In 2004, bed turnover and occupancy rate at the emergency psychiatry unit increased. CONCLUSION: The increase in the number of psychiatric admissions in 2004 could be attributed to a lack of new community-based services available in the area beginning in 1998. Changes in the health care network did affect the emergency psychiatric service and the limitations of the community-based network could influence the rate of psychiatric admissions. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462010000200009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462010000200009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-44462009005000014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
dc.source.none.fl_str_mv |
Brazilian Journal of Psychiatry v.32 n.2 2010 reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
instname_str |
Associação Brasileira de Psiquiatria (ABP) |
instacron_str |
ABP |
institution |
ABP |
reponame_str |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
collection |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
repository.name.fl_str_mv |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP) |
repository.mail.fl_str_mv |
||rbp@abpbrasil.org.br |
_version_ |
1754212555039965184 |