Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals?
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Debates em Psiquiatria (Online) |
Texto Completo: | https://revistardp.org.br/revista/article/view/321 |
Resumo: | Objecti ve: The training of medical residents may have an impact on the durati on of medical procedures, with consequences related to length of hospital stay and increased health care costs. The aim of this study is to compare hospitalizati on ti me among pati ents under the care of medical residents vs. those under the care of assistant physicians. Methods: This was an observati onal study conducted with data collected from the Medical Archive and Stati sti cs Service (Serviço de Arquivo Médico e Estatí sti co [SAME]) of Insti tuto de Psiquiatria de Santa Catarina, São José, state of Santa Catarina, Brazil. Data covering the period from January 01 2007 to January 31 2014 were collected by the investi gators, and the mean length of hospital stay was calculated for each year. Results: Between 2007 and 2014, there were a total of 13,971 admissions and readmissions. No stati sti cally signifi cant diff erences were found between the mean length of stay among pati ents under the care of medical residents vs. those under the care of the psychiatriststaff. In the stratified analysis according to sex, there was a difference between the groups only for the years 2007, 2013 and 2014, for the female inpatient unit. Conclusions: The results of this study suggest that the assistance of medical residents in psychiatry does not have a significant impact on the length of stay of patients with acute psychiatric illnesses. |
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Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals?Pacientes sob cuidados de médicos residentes em supervisão apresentam tempo de internação psiquiátrica mais prolongada? Médicos residentestempo de hospitalizaçãointernaçãoMedical residentslength of stayadmissionObjecti ve: The training of medical residents may have an impact on the durati on of medical procedures, with consequences related to length of hospital stay and increased health care costs. The aim of this study is to compare hospitalizati on ti me among pati ents under the care of medical residents vs. those under the care of assistant physicians. Methods: This was an observati onal study conducted with data collected from the Medical Archive and Stati sti cs Service (Serviço de Arquivo Médico e Estatí sti co [SAME]) of Insti tuto de Psiquiatria de Santa Catarina, São José, state of Santa Catarina, Brazil. Data covering the period from January 01 2007 to January 31 2014 were collected by the investi gators, and the mean length of hospital stay was calculated for each year. Results: Between 2007 and 2014, there were a total of 13,971 admissions and readmissions. No stati sti cally signifi cant diff erences were found between the mean length of stay among pati ents under the care of medical residents vs. those under the care of the psychiatriststaff. In the stratified analysis according to sex, there was a difference between the groups only for the years 2007, 2013 and 2014, for the female inpatient unit. Conclusions: The results of this study suggest that the assistance of medical residents in psychiatry does not have a significant impact on the length of stay of patients with acute psychiatric illnesses.Objeti vo: O treinamento de médicos residentes pode ter impacto na duração de procedimentos em saúde, com repercussão no tempo de internação e aumento de custos. O objeti vo deste estudo foi comparar a duração da internação de pacientes sob cuidados de médicos residentes com a duração da internação de pacientes sob cuidados apenas de médicos assistentes. Métodos: Trata-se de estudo observacional, realizado com dados obti dos do Serviço de Arquivo Médico e Estatí sti co (SAME) do Insti tuto de Psiquiatria de Santa Catarina, São José (SC), Brasil. Os dados relati vos ao período compreendido entre 1º de janeiro de 2007 e 31 de dezembro de 2014 foram coletados pelo grupo de pesquisadores, e a parti r dos mesmos, foi computado o tempo médio de internação para cada ano, de 2007 a 2014. Resultados: O período compreendido neste trabalho, entre 2007 e 2014, incluiu um total de 13.971 internações e reinternações. Não encontramos diferença estati sti camente signifi cati va em relação à média total do tempo de internação de pacientes sob cuidados de médicos residentes em supervisão comparado ao tempo de internação de pacientes sob cuidados de médicos não preceptores. Na análise estrati fi cada para sexo, entre os 8 anos observados, houve diferença entre os grupos apenas nos anos de 2007, 2013 e 2014, referente à enfermaria feminina. Conclusão: O presente estudo sugere não haver impacto signifi cati vo no tempo médio de internação em pacientes com transtornos psiquiátricos agudos quando sob cuidados de médicos residentes.Associação Brasileira de Psiquiatria2018-06-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/32110.25118/2763-9037.2018.v8.321Debates in Psychiatry; Vol. 8 No. 6 (2018); 15-19Debates em Psiquiatria; Vol. 8 Núm. 6 (2018); 15-19Debates em Psiquiatria; v. 8 n. 6 (2018); 15-192763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/321/290https://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessPrá , Vinicius BrumBalan, Alexandre BalestieriPellizzaro, Raphaela Santos Silva, Paulo Roberto Antunes daCosta, Ana PaulaSchwarzbold , Marcelo LiborioDiaz, Alexandre Paim2022-08-21T23:21:28Zoai:ojs.emnuvens.com.br:article/321Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2022-08-21T23:21:28Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false |
dc.title.none.fl_str_mv |
Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals? Pacientes sob cuidados de médicos residentes em supervisão apresentam tempo de internação psiquiátrica mais prolongada? |
title |
Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals? |
spellingShingle |
Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals? Prá , Vinicius Brum Médicos residentes tempo de hospitalização internação Medical residents length of stay admission |
title_short |
Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals? |
title_full |
Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals? |
title_fullStr |
Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals? |
title_full_unstemmed |
Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals? |
title_sort |
Do patients under the care of medical residents have longer lengths of stay at psychiatric hospitals? |
author |
Prá , Vinicius Brum |
author_facet |
Prá , Vinicius Brum Balan, Alexandre Balestieri Pellizzaro, Raphaela Santos Silva, Paulo Roberto Antunes da Costa, Ana Paula Schwarzbold , Marcelo Liborio Diaz, Alexandre Paim |
author_role |
author |
author2 |
Balan, Alexandre Balestieri Pellizzaro, Raphaela Santos Silva, Paulo Roberto Antunes da Costa, Ana Paula Schwarzbold , Marcelo Liborio Diaz, Alexandre Paim |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Prá , Vinicius Brum Balan, Alexandre Balestieri Pellizzaro, Raphaela Santos Silva, Paulo Roberto Antunes da Costa, Ana Paula Schwarzbold , Marcelo Liborio Diaz, Alexandre Paim |
dc.subject.por.fl_str_mv |
Médicos residentes tempo de hospitalização internação Medical residents length of stay admission |
topic |
Médicos residentes tempo de hospitalização internação Medical residents length of stay admission |
description |
Objecti ve: The training of medical residents may have an impact on the durati on of medical procedures, with consequences related to length of hospital stay and increased health care costs. The aim of this study is to compare hospitalizati on ti me among pati ents under the care of medical residents vs. those under the care of assistant physicians. Methods: This was an observati onal study conducted with data collected from the Medical Archive and Stati sti cs Service (Serviço de Arquivo Médico e Estatí sti co [SAME]) of Insti tuto de Psiquiatria de Santa Catarina, São José, state of Santa Catarina, Brazil. Data covering the period from January 01 2007 to January 31 2014 were collected by the investi gators, and the mean length of hospital stay was calculated for each year. Results: Between 2007 and 2014, there were a total of 13,971 admissions and readmissions. No stati sti cally signifi cant diff erences were found between the mean length of stay among pati ents under the care of medical residents vs. those under the care of the psychiatriststaff. In the stratified analysis according to sex, there was a difference between the groups only for the years 2007, 2013 and 2014, for the female inpatient unit. Conclusions: The results of this study suggest that the assistance of medical residents in psychiatry does not have a significant impact on the length of stay of patients with acute psychiatric illnesses. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-06-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-Reviewed Revisado por Pares Avaliado Pelos Pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistardp.org.br/revista/article/view/321 10.25118/2763-9037.2018.v8.321 |
url |
https://revistardp.org.br/revista/article/view/321 |
identifier_str_mv |
10.25118/2763-9037.2018.v8.321 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistardp.org.br/revista/article/view/321/290 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
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 |
Debates in Psychiatry; Vol. 8 No. 6 (2018); 15-19 Debates em Psiquiatria; Vol. 8 Núm. 6 (2018); 15-19 Debates em Psiquiatria; v. 8 n. 6 (2018); 15-19 2763-9037 2236-918X reponame:Debates em Psiquiatria (Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
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Associação Brasileira de Psiquiatria (ABP) |
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ABP |
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ABP |
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Debates em Psiquiatria (Online) |
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Debates em Psiquiatria (Online) |
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Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP) |
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rdp@abp.org.br |
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1796798367524716544 |