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The influence of institutional characteristics on length of stay for psychiatric patients: a national database study in South Korea

DC Field Value Language
dc.contributor.author정우진-
dc.contributor.author조우현-
dc.date.accessioned2015-04-24T17:39:57Z-
dc.date.available2015-04-24T17:39:57Z-
dc.date.issued2009-
dc.identifier.issn0277-9536-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/105833-
dc.description.abstractThe institutionalization of psychiatric patients has put a tremendous burden on many societies, but few studies have examined the effects of institutional characteristics on patient length of stay (LOS). This paper investigated the association between institutional characteristics and LOS for 160,517 psychiatric patients in South Korea by applying a two-level modeling technique to administrative claims databases covering the entire patient population. Patient LOS, expressed in terms of days, was analyzed by taking account of institutional type, ownership, location, inpatient capacity, staffing, and patient demographics. The characteristics of inpatients were used as control variables and consisted of gender, age, sub-diagnosis, and the type of national health security program. The main findings of this study are: (1) patient LOS was 69% longer at psychiatric hospitals than at tertiary-care hospitals; (2) neither location nor inpatient capacity was associated with LOS; (3) larger staffs reduced LOS; and (4), LOS increased with a higher proportion of male inpatients, inpatients > or =65 years old, or inpatients diagnosed with organic or schizophrenic disorders, possibly through contextual effects. The results of this study suggest that researchers and policy makers could improve their assessment of psychiatric patient LOS and its association with health outcome by taking into account institutional characteristics and using multi-level analyses-
dc.description.statementOfResponsibilityopen-
dc.format.extent1137~1144-
dc.relation.isPartOfSOCIAL SCIENCE & MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAge Factors-
dc.subject.MESHAged-
dc.subject.MESHDatabases, Factual-
dc.subject.MESHDemography-
dc.subject.MESHFemale-
dc.subject.MESHHealth Facility Administration*-
dc.subject.MESHHospitals, Psychiatric/organization & administration-
dc.subject.MESHHumans-
dc.subject.MESHKorea-
dc.subject.MESHLength of Stay/statistics & numerical data*-
dc.subject.MESHMale-
dc.subject.MESHMental Disorders/therapy*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOwnership-
dc.subject.MESHPersonnel Staffing and Scheduling/statistics & numerical data-
dc.subject.MESHResidence Characteristics/statistics & numerical data-
dc.subject.MESHSex Factors-
dc.subject.MESHYoung Adult-
dc.titleThe influence of institutional characteristics on length of stay for psychiatric patients: a national database study in South Korea-
dc.typeArticle-
dc.contributor.collegeGraduate School of Public Health (보건대학원)-
dc.contributor.departmentGraduate School of Public Health (보건대학원)-
dc.contributor.googleauthorWoojin Chung-
dc.contributor.googleauthorWoo Hyun Cho-
dc.contributor.googleauthorChung Won Yoon-
dc.identifier.doi10.1016/j.socscimed.2008.12.045-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03869-
dc.contributor.localIdA03670-
dc.relation.journalcodeJ02668-
dc.identifier.eissn1873-5347-
dc.identifier.pmid19167140-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0277953608006916-
dc.subject.keywordSouth Korea-
dc.subject.keywordLength of stay-
dc.subject.keywordPsychiatric care-
dc.subject.keywordHospital characteristics-
dc.subject.keywordInstitutions-
dc.contributor.alternativeNameChung, Woo Jin-
dc.contributor.alternativeNameCho, Woo Hyun-
dc.contributor.affiliatedAuthorCho, Woo Hyun-
dc.contributor.affiliatedAuthorChung, Woo Jin-
dc.citation.volume68-
dc.citation.number6-
dc.citation.startPage1137-
dc.citation.endPage1144-
dc.identifier.bibliographicCitationSOCIAL SCIENCE & MEDICINE, Vol.68(6) : 1137-1144, 2009-
dc.identifier.rimsid49876-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers

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