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Titolo:
Complexity of care and mental illness in medical inpatients
Autore:
Hansen, MS; Fink, P; Frydenberg, M; de Jonge, P; Huyse, FJ;
Indirizzi:
Aarhus Univ, Psychiat Hosp Aarhus, Dept Psychiat Demog, Aarhus, Denmark Aarhus Univ Aarhus Denmark Aarhus, Dept Psychiat Demog, Aarhus, Denmark Aarhus Univ, Dept Biostat, Aarhus, Denmark Aarhus Univ Aarhus DenmarkAarhus Univ, Dept Biostat, Aarhus, Denmark Aarhus Univ Hosp, Res Unit Funct Disorders, DK-8000 Aarhus, Denmark AarhusUniv Hosp Aarhus Denmark DK-8000 sorders, DK-8000 Aarhus, Denmark Univ Hosp Amsterdam, Psychiat Consultat Serv, Amsterdam, Netherlands Univ Hosp Amsterdam Amsterdam Netherlands Serv, Amsterdam, Netherlands
Titolo Testata:
GENERAL HOSPITAL PSYCHIATRY
fascicolo: 6, volume: 23, anno: 2001,
pagine: 319 - 325
SICI:
0163-8343(200111/12)23:6<319:COCAMI>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERSISTENT SOMATIZING PATIENTS; PSYCHIATRIC COMORBIDITY; HOSPITAL STAY; HEALTH-CARE; LENGTH; DEPRESSION; SOMATIZATION; ADMISSIONS; SERVICES; IMPACT;
Keywords:
medical inpatients; complexity of care; length of stay; mental illness; self-rated health;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Hansen, MS Aarhus Univ, Psychiat Hosp Aarhus, Dept Psychiat Demog, Aarhus,Denmark Aarhus Univ Aarhus Denmark t Psychiat Demog, Aarhus, Denmark
Citazione:
M.S. Hansen et al., "Complexity of care and mental illness in medical inpatients", GEN HOSP PS, 23(6), 2001, pp. 319-325

Abstract

We investigated the complexity of medical inpatient care to learn it was associated with the presence and type of mental disorders, and with emotional distress and somatization. Six indicators of care complexity, including length of stay (LOS), were assessed for 294 consecutive medical inpatients. Patients rated their own health and physical disability, and medical consultants assessed them for chronic and life-threatening diseases. A subsample of 157 patients was assessed for ICD-10 psychiatric diagnoses by means of an extensive semi-structured interview known as Schedules for Clinical Assessment in Neuropsychiatry (SCAN). With a few exceptions, the indicators of complexity of care were not statistically significantly associated to ICD-10mental disorders; psychological distress, measured by the SCL-8 rating scale; or somatization, measured by the Whiteley-7 rating scale. On the other hand, four of six complexity indicators were significantly associated with self-rated physical disability or health. or both, when controlling for theseverity of the medical condition. In conclusion, complexity of care, including LOS, was substantially associated with the patient's own health perception but only marginally with the presence of mental illness. This is noteworthy, as previously published results concerning the same patients have shown a clear association of mental illness with utilization of admissions to nonpsychiatric departments, and with utilization of primary care resources. (C) 2001 Elsevier Science Inc. All rights reserved.

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Documento generato il 15/07/20 alle ore 08:17:07