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Titolo:
A SMALL-AREA ANALYSIS OF PSYCHIATRIC HOSPITALIZATIONS TO GENERAL HOSPITALS - EFFECTS OF COMMUNITY-MENTAL-HEALTH-CENTERS
Autore:
HENDRYX MS; ROHLAND BM;
Indirizzi:
WASHINGTON STATE UNIV,WASHINGTON INST MENTAL ILLNESS RES & TRAINING,601 W 1ST AVE SPOKANE WA 99204 UNIV IOWA,GRAD PROGRAM HOSP & HLTH ADM IOWA CITY IA 52242 UNIV IOWA,DEPT PSYCHIAT IOWA CITY IA 52242
Titolo Testata:
General hospital psychiatry
fascicolo: 5, volume: 16, anno: 1994,
pagine: 313 - 318
SICI:
0163-8343(1994)16:5<313:ASAOPH>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARE; AGENCIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social Sciences Citation Index
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
M.S. Hendryx e B.M. Rohland, "A SMALL-AREA ANALYSIS OF PSYCHIATRIC HOSPITALIZATIONS TO GENERAL HOSPITALS - EFFECTS OF COMMUNITY-MENTAL-HEALTH-CENTERS", General hospital psychiatry, 16(5), 1994, pp. 313-318

Abstract

Population-based psychiatric admission rates vary across geographic areas, but reasons for this variation are unknown. Insofar as CommunityMental Health Centers (CMHCs) provide outpatient services that may deter the need for hospitalization, the presence and structural characteristics of CMHCs may have an impact on a population's psychiatric admission rates. This study uses small area analysis to examine how general hospital psychiatric admission rates are associated with CMHC characteristics. Based on a survey of all CMHCs in Iowa and corresponding small area variation data, it was found that population admission rates were higher in areas closer to the CMHC and lower in outlying catchment areas, adjusting for age, sex, and urban/rural differences in populations. There was little evidence that differences in staffing and service variables influenced admission rates, although greater CMHC staff coverage by social workers and psychiatric residents was associated with lower admission rates. The results suggest that CMHCs do not lower an area's hospitalization rate, and in fact, the presence of CMHCs maypromote a ''supplier-induced demand'' phenomenon of higher admissions.

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Documento generato il 20/09/20 alle ore 07:35:02