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The outcomes of psychiatric inpatients by proportion of experienced psychiatrists and nurse staffing in hospital: New findings on improving the quality of mental health care in South Korea

Authors
 Kyu-Tae Han  ;  Sun Jung Kim  ;  Sung-In Jang  ;  Myung-Il Hahm  ;  Seung Ju Kim  ;  Seo Yoon Lee  ;  Eun-Cheol Park 
Citation
 PSYCHIATRY RESEARCH-NEUROIMAGING, Vol.229(3) : 880-886, 2015 
Journal Title
 PSYCHIATRY RESEARCH-NEUROIMAGING 
ISSN
 0925-4927 
Issue Date
2015
MeSH
Adult ; Aged ; Female ; Hospitals, Psychiatric/standards ; Hospitals, Psychiatric/statistics & numerical data* ; Humans ; Inpatients/statistics & numerical data ; Male ; Mental Health Services/standards* ; Mental Health Services/statistics & numerical data ; Middle Aged ; National Health Programs ; Outcome Assessment (Health Care) ; Patient Discharge/statistics & numerical data ; Patient Readmission/statistics & numerical data* ; Personnel Staffing and Scheduling* ; Psychiatric Nursing/statistics & numerical data* ; Psychiatry/statistics & numerical data* ; Republic of Korea ; Young Adult
Keywords
Experienced physicians ; Nurse staffing ; Psychiatric disorders ; Psychiatrists ; Readmission
Abstract
Readmission rates for mental health care are higher in South Korea than other Organization for Economic Development (OECD) countries. Therefore, it is worthwhile to continue investigating how to reduce readmissions. Taking a novel approach, we determined the relationship between psychiatrist experience and mental health care readmission rates. We used National Health Insurance claim data (N=21,315) from 81 hospitals to analyze readmissions within 30 days of discharge for "mood disorders" or "schizophrenia, schizotypal and delusional disorders" during 2010-2013. In this study, multilevel models that included both patient and hospital-level variables were analyzed to examine associations with readmission. Readmissions within 30 days of discharge accounted for 1079 (5.1%) claims. Multilevel analysis demonstrated that the proportion of experienced psychiatrists at a hospital was inversely associated with risk of readmission (OR: 0.79, 95% CI: 0.74-0.84 per 10% increase in experienced psychiatrists). Readmission rates for psychiatric disorders within 30 days of discharge were lower in hospitals with a higher number of nurses (OR: 0.95, 95% CI: 0.94-0.96 per 10 nurses). In conclusion, health policymakers and hospital managers should make an effort to reduce readmissions for psychiatric disorders and other diseases by considering the role that physician experience plays and nurse staffing.
Full Text
http://www.sciencedirect.com/science/article/pii/S0165178115005089
DOI
10.1016/j.psychres.2015.07.051
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Jang, Sung In(장성인) ORCID logo https://orcid.org/0000-0002-0760-2878
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141073
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