Determinants of psychogeriatric inpatient length of stay and direct medical costs: A 6-year longitudinal study using a national database in Taiwan

Psychiatry and Clinical Neurosciences

Volumn 66, Issue 5, 2012, Pages 423-431

  Liu, Chin Ming ^a,c   Li, Chu Shiu ^d   Liu, Chwen Chi ^b   Tu, Chu Chin ^a  

^a Program in Business   (Taiwan)

^b FENG CHIA UNIVERSITY   (Taiwan)

^c CHENG CHING GENERAL HOSPITAL   (Taiwan)

^d ASIA UNIVERSITY   (Taiwan)

Author keywords

direct medical cost; length of hospital stay; psychogeriatrics

Indexed keywords

AGE; AGED; ANXIETY DISORDER; ARTICLE; COMMUNITY HOSPITAL; DELUSIONAL DISORDER; DEMENTIA; FEMALE; GENERAL HOSPITAL; GERONTOPSYCHIATRY; HOSPITALIZATION; HOSPITALIZATION COST; HUMAN; LENGTH OF STAY; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; MENTAL HOSPITAL; MOOD DISORDER; ORGANIC PSYCHOSYNDROME; PSYCHIATRIC DIAGNOSIS; SCHIZOPHRENIA; SEX DIFFERENCE; TAIWAN;

AGED; AGED, 80 AND OVER; DEMENTIA; FEMALE; HEALTH CARE COSTS; HOSPITALIZATION; HOSPITALS, PRIVATE; HOSPITALS, PSYCHIATRIC; HOSPITALS, PUBLIC; HUMANS; LENGTH OF STAY; LINEAR MODELS; LONGITUDINAL STUDIES; MALE; MENTAL DISORDERS; MOOD DISORDERS; NATIONAL HEALTH PROGRAMS; PSYCHIATRIC DEPARTMENT, HOSPITAL; TAIWAN;

EID: 84864408685     PISSN: 13231316     EISSN: 14401819     Source Type: Journal    
DOI: 10.1111/j.1440-1819.2012.02377.x     Document Type: Article

References (36)

1. Chan AL, Cham TM, Lin SJ,. Direct medical costs in patients with Alzheimer's disease in Taiwan: A population-based study. Curr. Ther. Res. Clin. Exp. 2009; 70: 10-18.
2. Wang G, Cheng Q, Zhang S, et al,. Economic impact of dementia in developing countries: An evaluation of Alzheimer-type dementia in Shanghai, China. J. Alzheimers Dis. 2008; 15: 109-115.
3. Blank K, Hixon L, Gruman C, et al,. Determinants of geropsychiatric inpatient length of stay. Psychiatr. Q. 2005; 76: 195-212. (Pubitemid 40558626)
4. Council for Economic Planning and Development, Executive Yuan of R.O.C., Taiwan. 2008 Population Projections for Taiwan Areas: 2008-2056. [Cited 14 Jun 2011.] Available from URL: (last accessed 14 Jun 2011).
5. Hung JH, Li C,. Has cost containment after the National Health Insurance system been successful? Determinants of Taiwan hospital costs. Health Policy 2008; 85: 321-335.
6. Imai H, Hosomi J, Nakao H, et al,. Characteristics of psychiatric hospitals associated with length of stay in Japan. Health Policy 2005; 74: 115-121. (Pubitemid 41253715)
7. Chung W, Cho WH, Yoon CW,. The influence of institutional characteristics on length of stay for psychiatric patients: A national database study in South Korea. Soc. Sci. Med. 2009; 68: 1137-1144.
8. Chung W, Oh SM, Suh T, et al,. Determinants of length of stay for psychiatric inpatients: Analysis of a national database covering the entire Korean elderly population. Health Policy 2010; 94: 120-128.
9. McFarland BH, Khorramzadeh S, Milius R, et al,. Psychiatric hospital length of stay for Medical Clients before and after managed care. Adm. Policy Ment. Health 2002; 29: 191-199. (Pubitemid 34522425)
10. Theurl E, Winner H,. The impact of hospital financing on the length of stay: Evidence from Austria. Health Policy 2007; 82: 375-389. (Pubitemid 46962791)
11. Adegunloye OA, Yussuf AD, Ajiboye PO, et al,. Correlates of length of stay among psychiatric in-patients in a tertiary health institution in Nigeria. Res. J. Med. Sci. 2009; 3: 56-61.
12. Levine SZ, Rabinowitz J,. A population-based examination of the role of years of education, age of onset, and sex on the course of schizophrenia. Psychiatry Res. 2009; 168: 11-17.
13. Lin HC, Lee HC,. Psychiatrists' caseload volume, length of stay and mental healthcare readmission rates: A three-year population-based study. Psychiatry Res. 2009; 166: 15-23.
14. Draper B, Luscombe G,. Quantification of factors contributing to length of stay in an acute geropsychiatric ward. Int. J. Geriatr. Psychiatr. 1998; 13: 1-7. (Pubitemid 28046022)
15. Jonsson L, Wimo A,. The cost of dementia in Europe: A review of the evidence, and methodological considerations. Pharmacoeconomics 2009; 27: 391-403.
16. Wimo A, Winblad B, Jönsson L,. The worldwide societal costs of dementia: Estimates for 2009. Alzheimers Dement. 2010; 6: 98-103.
17. Andlin-Sobocki P, Wittchen HU,. Cost of affective disorders in Europe. Eur. J. Neurol. 2005; 12: 34-38. (Pubitemid 40755601)
18. Luppa M, Heinrich S, Matschinger H, et al,. Direct costs associated with depression in old age in Germany. J. Affect. Disord. 2008; 105: 195-204. (Pubitemid 350236364)
19. Lee HC, Tsai SY, Lin HC, et al,. The association between psychiatrist numbers and hospitalization costs for schizophrenia patients: A population-based study. Schizophr. Res. 2006; 81: 283-290.
20. Salize HJ, McCabe R, Bullenkamp J, et al,. Cost of treatment of schizophrenia in six European countries. Schizophr. Res. 2009; 11: 70-77.
21. Andlin-Sobocki P, Wittchen HU,. Cost of anxiety disorders in Europe. Eur. J. Neurol. 2005; 12: 39-44. (Pubitemid 40755602)
22. Löthgren M,. Economic evidence in affective disorders: A review. Eur. J. Health Econ. 2004; 5: s20-s25. (Pubitemid 39440393)
23. Marchiniak M, Lage MJ, Landbloom RP, et al,. Medical and productivity costs of anxiety disorders: Case control study. Depress. Anxiety 2004; 19: 112-120. (Pubitemid 38387603)
24. Chien IC, Chou YJ, Lin CH, et al,. Use of health care services and costs of psychiatric disorders among National Health Insurance enrollees in Taiwan. Psychiatr. Serv. 2004; 55: 1427-1430.
25. Chen YH, Lee HC, Lin HC,. Prevalence and risk of atopic disorders among schizophrenia patients: A nationwide population based study. Schizophr. Res. 2009; 108: 191-196.
26. Grassi L, Biancosino B, Marmai L, et al,. Violence in psychiatric units: A 7-year Italian study of persistently assaultive patients. Soc. Psychiatry Psychiatr. Epidemiol. 2006; 41: 698-703. (Pubitemid 44363758)
27. Nosé M, Barbui C, Tansella M,. How often do patients with psychosis fail to adhere to treatment programmes? A systemic review. Psychol. Med. 2003; 33: 1149-1160. (Pubitemid 37265204)
28. Sellwood W, Tarrier N,. Demographic factors associated with extreme non-compliance in schizophrenia. Soc. Psychiatry Psychiatr. Epidemiol. 1994; 29: 172-177. (Pubitemid 24229778)
29. Chong SA, Verma S, Vaingankar JA, et al,. Perception of the public towards the mentally ill in developed Asian country. Soc. Psychiatry Psychiatr. Epidemiol. 2007; 42: 734-739. (Pubitemid 47343014)
30. McLaughlin LA, Braun KL,. Asian and Pacific Islander cultural values: Considerations for health care decision making. Health Soc. Work 1998; 23: 116-126. (Pubitemid 128459403)
31. Chang KH, Horrocks S,. Lived experiences of family caregivers of mentally ill relatives. J. Adv. Nurs. 2006; 53: 435-443. (Pubitemid 43437815)
32. Chen YC,. Chinese values, health and nursing. J. Adv. Nurs. 2001; 36: 270-273.
33. Chien IC, Chou YJ, Lin CH, Bih SH, Chou P,. Prevalence of psychiatric disorders among National Health Insurance enrollees in Taiwan. Psychiatr. Serv. 2004; 55: 691-697. (Pubitemid 38720861)
34. Gordon RE, Jardiolin P, Gordon KK,. Predicting length of hospital stay in psychiatric patients. Am. J. Psychiatry 1985; 142: 235-237. (Pubitemid 15165413)
35. Wu CY, Lai HJ, Chen RC,. Status of medicolegal problems in Taiwan. Formos. J. Med. 2009; 13: 1-8 (in Chinese).
36. Wu CY, Lai HJ, Chen RC,. Medical malpractice experience of Taiwan: 2005 versus 1991. Intern. Med. J. 2009; 39: 237-242.