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Titolo:
Impact of VA bed closures on use of state psychiatric services
Autore:
Rosenheck, R; Frisman, L; Essock, S;
Indirizzi:
Yale Univ, Sch Med, Dept Vet Affairs, NE Program Evaluat Ctr, W Haven, CT 06516 USA Yale Univ W Haven CT USA 06516 Program Evaluat Ctr, W Haven, CT 06516 USA Yale Univ, Sch Med, VISN Mental Illness Res Educ & Clin Ctr 1, W Haven, CT06516 USA Yale Univ W Haven CT USA 06516 es Educ & Clin Ctr 1, W Haven, CT06516 USA Yale Univ, Sch Med, Dept Psychiat, W Haven, CT 06516 USA Yale Univ W Haven CT USA 06516 Med, Dept Psychiat, W Haven, CT 06516 USA Yale Univ, Sch Med, Dept Publ Hlth 182, VA Connecticut Hlth Ctr, W Haven, CT 06516 USA Yale Univ W Haven CT USA 06516 onnecticut Hlth Ctr, W Haven, CT 06516 USA Univ Connecticut, Connecticut Dept Mental Hlth & Addict Serv, Storrs, CT 06269 USA Univ Connecticut Storrs CT USA 06269 & Addict Serv, Storrs, CT 06269 USA Univ Connecticut, Dept Psychol, Storrs, CT 06269 USA Univ Connecticut Storrs CT USA 06269 , Dept Psychol, Storrs, CT 06269 USA Mt Sinai Sch Med, Dept Psychiat, Div Hlth Serv Res, New York, NY 10029 USAMt Sinai Sch Med New York NY USA 10029 h Serv Res, New York, NY 10029 USA
Titolo Testata:
JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH
fascicolo: 1, volume: 28, anno: 2001,
pagine: 58 - 66
SICI:
1094-3412(200102)28:1<58:IOVBCO>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
MENTAL-HEALTH-SERVICES; CARE; DETERMINANTS; COMMUNITY; COSTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Rosenheck, R Yale Univ, Sch Med, Dept Vet Affairs, NE Program Evaluat Ctr,950 CampbellAve, W Haven, CT 06516 USA Yale Univ 950 Campbell Ave W Haven CT USA 06516 CT 06516 USA
Citazione:
R. Rosenheck et al., "Impact of VA bed closures on use of state psychiatric services", J BEHAV H S, 28(1), 2001, pp. 58-66

Abstract

This study examined whether inpatient bed reductions at a Department of Veterans Affairs (VA) medical center increased VA patients' use of state mental health agency services. Veterans residing in two Connecticut cities who used VA psychiatric services during fiscal years 1993 through 1998 (n = 2,943) were identified from computerized files. Then their records were mergedwith state files. Coinciding with the time of VA bed closures, the proportion of VA patients who used any state services increased from 2.6%, 2.8%, and 2. 7% from 1993 through 1995 To 3.6%, 3.5%, and 3.6% from 1996 through 1998 (p < .03), These changes reflect increased likelihood of state outpatient service use, bur not inpatient services. No statistically significant changes occurred in the cost of stare services used by VA patients. Bed closure impart may be reflected in increased cross-system service use, which maybe a useful indicator of unmet needs resulting from system changes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 19:07:58