Patterns of mental health service utilization in a general hospital and outpatient mental health facilities: Analysis of 365,262 psychiatric consultations

European Archives of Psychiatry and Clinical Neuroscience

Volumn 258, Issue 2, 2008, Pages 117-123

  Baca Garcia, Enrique ^a,b,c   Perez Rodriguez, Maria M ^d   Basurte Villamor, Ignacio ^b   Quintero Gutierrez, F Javier ^b   Sevilla Vicente, Juncal ^b   Martinez Vigo, Maria ^b   Artes Rodriguez, Antonio ^e   Fernandez Del Moral, Antonio L ^f   Jimenez Arriero, Miguel A ^g,h   Gonzalez De Rivera, Jose L ^b  

^a NEW YORK STATE PSYCHIATRIC INSTITUTE   (United States)

^b HOSPITAL UNIVERSITARIO FUNDACIÓN JIMÉNEZ DÍAZ   (Spain)

^c AUTONOMOUS UNIVERSITY OF MADRID   (Spain)

^d HOSPITAL RAMÓN Y CAJAL   (Spain)

^e UNIVERSIDAD CARLOS III DE MADRID   (Spain)

^f Mental Health Center of Centro District   (Spain)

^g UNIVERSIDAD COMPLUTENSE DE MADRID   (Spain)

^h HOSPITAL UNIVERSITARIO 12 DE OCTUBRE   (Spain)

Author keywords

Health care costs; Health services research; Logistic models; Mental health services

Indexed keywords

PSYCHOTROPIC AGENT;

ADOLESCENT; ADULT; AGED; ARTICLE; BEHAVIOR DISORDER; CHILD; DATA ANALYSIS; DELUSIONAL DISORDER; DEMOGRAPHY; DISABILITY; FEMALE; GENERAL HOSPITAL; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HEALTH STATUS; HUMAN; INFANT; LOGISTIC REGRESSION ANALYSIS; MALE; MENTAL DISEASE; MENTAL HEALTH; MENTAL HEALTH CARE; MENTAL HEALTH CENTER; MENTAL HEALTH SERVICE; MORBIDITY; MORTALITY; MULTIVARIATE ANALYSIS; OUTPATIENT CARE; PRIORITY JOURNAL; PSYCHOSIS; RESIDENTIAL CARE; SCHIZOPHRENIA; SCHIZOTYPAL PERSONALITY DISORDER; SOCIAL ASPECT; STATISTICAL ANALYSIS; STATISTICAL MODEL; TIME SERIES ANALYSIS; UNIVARIATE ANALYSIS;

ADOLESCENT; ADULT; AGE DISTRIBUTION; AGED; AGED, 80 AND OVER; AMBULATORY CARE; CHILD; CHILD, PRESCHOOL; DIAGNOSIS-RELATED GROUPS; FEMALE; HEALTH CARE COSTS; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HOSPITALS, GENERAL; HUMANS; MALE; MENTAL DISORDERS; MENTAL HEALTH SERVICES; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PSYCHIATRY; SEX DISTRIBUTION; SPAIN; UTILIZATION REVIEW;

EID: 41149124932     PISSN: 09401334     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00406-007-0763-x     Document Type: Article

References (27)

1. Baca-Garcia E, Perez-Rodriguez MM, Basurte-Villamor I, Fernandez del Moral AL, Jimenez-Arriero MA, Gonzalez de Rivera JL, Saiz-Ruiz J, Oquendo MA (2007) Diagnostic stability of psychiatric disorders in clinical practice. Br J Psychiatry 190:210-216
2. Baca-Garcia E, Perez-Rodriguez MM, Basurte-Villamor I, Lopez-Castroman J, Fernandez Del Moral AL, Jimenez-Arriero MA, Gonzalez de Rivera JL, Saiz-Ruiz J, Leiva-Murillo JM, de Prado-Cumplido M, Santiago-Mozos R, Artes-Rodriguez A, Oquendo MA, de Leon J (2007) Diagnostic stability and evolution of bipolar disorder in clinical practice: a prospective cohort study. Acta Psychiatr Scand 115:473-480
3. Becker T, Kilian R (2006) Psychiatric services for people with severe mental illness across Western Europe: what can be generalized from current knowledge about differences in provision, costs and outcomes of mental health care? Acta Psychiatr Scand Suppl 429:9-16
4. Bourgeois JA, Kremen WS, Servis ME, Wegelin JA, Hales RE (2005) The impact of psychiatric diagnosis on length of stay in a university medical center in the managed care era. Psychosomatics 46:431-439
5. Carr VJ, Johnston PJ, Lewin TJ, Rajkumar S, Carter GL, Issakidis C (2003) Patterns of service use among persons with schizophrenia and other psychotic disorders. Psychiatric Serv 54:226-235
6. Desai MM, Rosenheck RA (2003) Trends in discharge disposition, mortality, and service use among long-stay psychiatric patients in the 1990s. Psychiatr Serv 54:542-548
7. Hamalainen J, Isometsa E, Laukkala T, Kaprio J, Poikolainen K, Heikkinen M, Lindeman S, Aro H (2004) Use of health services for major depressive episode in Finland. J Affect Disord 79:105-112
8. Junghan UM, Brenner HD (2006) Heavy use of acute in-patient psychiatric services: the challenge to translate a utilization pattern into service provision. Acta Psychiatr Scand Suppl 429:24-32
9. Kastrup M (1987) Who became revolving door patients? Findings from a nation-wide cohort of first time admitted psychiatric patients. Acta Psychiatr Scand 76:80-88
10. Kent S, Yellowlees P (1995) The relationship between social factors and frequent use of psychiatric services. Aust N Z J Psychiatry 29:403-408
11. Lewis T, Joyce PR (1990) The new revolving-door patients: results from a national cohort of first admissions. Acta Psychiatr Scand 82:130-135
12. Mahendran R, Mythily, Chong SA, Chan YH (2005) Brief communication: factors affecting rehospitalisation in psychiatric patients in Singapore. Int J Soc Psychiatry 51:101-105
13. McDonald M, Hertz RP, Lustik MB, Unger AN (2005) Healthcare spending among community-dwelling adults with schizophrenia. Am J Manag Care 11(8 Suppl):S242-S247
14. Munk-Jørgensen P (1999) Has deinstitutionalization gone too far? Eur Arch Psychiatr Clin Neurosci 249:136-143
15. Oiesvold T, Saarento O, Sytema S, Vinding H, Gostas G, Lonnerberg O, Muus S, Sandlund M, Hansson L (2000) Predictors for readmission risk of new patients: the Nordic Comparative Study on Sectorized Psychiatry. Acta Psychiatr Scand 101:367-373
16. Perez-Rodriguez MM, Baca-Garcia E, Quintero-Gutierrez FJ, Gonzalez G, Saiz-Gonzalez D, Botillo C, Basurte-Villamor I, Sevilla J, Gonzalez de Rivera JL (2006) Demand for psychiatric emergency services and immigration. Findings in a Spanish hospital during the year 2003. Eur J Public Health 16:383-387
17. Roick C, Heider D, Kilian R, Matschinger H, Toumi M, Angermeyer MC (2004) Factors contributing to frequent use of psychiatric inpatient services by schizophrenia patients. Soc Psychiatry Psychiatr Epidemiol 39:744-751
18. Saarento O, Nieminen P, Hakko H, Isohanni M, Vaisanen E (1997) Utilization of psychiatric in-patient care among new patients in a comprehensive community-care system: a 3-year follow-up study. Acta Psychiatr Scand 95:132-139
19. Salize H, Moreno-Küstner B, Torres-González F (1999) Needs for care and effectiveness of mental health care provision for schizophrenic patients: a comparison between Granada (Spain) and Mannheim (Germany). Acta Psychiatr Scand 100:328-334
20. Salvador-Carulla L, Salas D, Romero C, Magallanes, PSICOST/EPCAT group (2002) Análisis de costes y servicios psiquiátricos para pacientes esquizofrénicos. El modelo EPCAT. Informaciones Psiquiatricas 169, Accessed online on March 9th 2006; http://www.revistahospitalarias.org/ info_2002/03_169_06.htm
21. Salvador-Carulla L, Tibaldi G, Johnson S, Scala E, Romero C, Munizza C, CSRP group, RIRAG group (2005) Patterns of mental health service utilisation in Italy and Spain-an investigation using the European Service Mapping Schedule. Soc Psychiatry Psychiatr Epidemiol 40:149-159
22. Seva A (2002) El coste de las patologías psiquiátricas en España. Un seguimiento de 26 años y 10.974 ingresos en una Unidad Psiquiátrica de Corta Estancia de un hospital general. Eur J Psychiatry 16:57-67
23. Sullivan PF, Bulik CM, Forman SD, Mezzich JE (1993) Characteristics of repeat users of a psychiatric emergency service. Hosp Community Psychiatry 44:376-380
24. World Health Organization (1992) Tenth revision of the International Classification of Diseases and related health problems (ICD-10). World Health Organization, Geneva
25. World Health Organization (2000) World Health Organization CHOosing Interventions that are Cost Effective (WHO-CHOICE). Accessed online on March 9th 2006; http://www.who.int/choice/costs/en/
26. World Health Organization (2001) The World Health Report 2001. Mental health: new understanding, new hope. World Health Organization, Geneva
27. Wu EQ, Birnbaum HG, Shi L, Ball DE, Kessler RC, Moulis M, Aggarwal J (2005) The economic burden of schizophrenia in the United States in 2002. J Clin Psychiatry 66:1122-1129