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Determinants of length of stay for psychiatric inpatients: analysis of a national database covering the entire Korean elderly population

Authors
 Woojin Chung  ;  Sun-Min Oh  ;  Tongwoo Suh  ;  Young Moon Lee  ;  Byoung Hoon Oh  ;  Chung-Won Yoon 
Citation
 HEALTH POLICY, Vol.94(2) : 120-128, 2010 
Journal Title
 HEALTH POLICY 
ISSN
 0168-8510 
Issue Date
2010
MeSH
Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Databases, Factual* ; Female ; Geriatric Psychiatry/statistics & numerical data ; Hospitalization ; Humans ; Inpatients/psychology* ; Length of Stay* ; Male ; Mental Health Services ; Republic of Korea ; Retrospective Studies
Keywords
Length of stay ; Geriatric psychiatry ; Hospitalization ; Mental health services ; Korea
Abstract
OBJECTIVE: In a rapidly aging society, inappropriately long geropsychiatric inpatient hospitalization is a challenging concern for mental health policy-makers and researchers. This study aimed to investigate patient and institutional factors affecting geropsychiatric inpatient length of stay (LOS), providing an overview of current geropsychiatric health care system in South Korea. METHODS: This retrospective, population-based, cross-sectional study analysed nationwide reimbursement claim databases covering the entire elderly population of Korea between January 2005 and June 2006. Given the nested structure of the data, a multivariate multilevel regression analysis was performed. RESULTS: The average LOS was 128 days. Males, patients with schizophrenia, and those enrolled in a National Medical Care Aid program tended to have longer hospital stays. Patient age was negatively related to LOS. Institutional variables related to longer hospitalizations included a psychiatric hospital, a higher number of beds, fewer human resource employees, a higher proportion of male, oldest old, and patients with dementia. CONCLUSIONS: Our results suggest that policies targeting geropsychiatric patients diagnosed with schizophrenia, enrolled in National Medical Care Aid programs, and admitted to psychiatric hospitals could reduce LOS. Additionally, the impact of the patient composition of a medical institution on LOS needs to be closely investigated.
Full Text
http://www.sciencedirect.com/science/article/pii/S0168851009002371
DOI
10.1016/j.healthpol.2009.09.004
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Chung, Woo Jin(정우진) ORCID logo https://orcid.org/0000-0003-2090-4851
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100577
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