TY - JOUR
T1 - Regional supply of outreach service and length of stay in psychiatric hospital among patients with schizophrenia
T2 - National case mix data analysis in Japan
AU - Niimura, Junko
AU - Nakanishi, Miharu
AU - Yamasaki, Syudo
AU - Nishida, Atsushi
N1 - Funding Information:
This work was supported by JSPS KAKENHI through a Grant-in-Aid for Young Scientists (B) [Grant number JP15K20796 ] and through a Grant-in-Aid for Scientific Research (C) [Grant number JP15K11839 ]. The funding source was not involved in the design and conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.
Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2017/12
Y1 - 2017/12
N2 - Several clinical trials have demonstrated that linkage to an outreach service can prevent prolonged length of stay of patients at psychiatric hospitals. However, there has been no investigation of the association between length of stay in psychiatric hospital and regional supply of outreach services using national case mix data. The aim of this study was to clarify the relationship between length of stay in psychiatric hospital and regional supply of outreach services. We used data from the National Patient Survey in Japan, a nationally representative cross-sectional survey of inpatient care conducted every three years from 1996 to 2014. Data from 42,268 patients with schizophrenia who had been admitted to psychiatric hospitals were analyzed. After controlling for patient and regional characteristics, patients in regions with fewer number of visits for psychiatric nursing care at home had significantly longer length of stay in psychiatric hospitals. This finding implies that enhancement of the regional supply of outreach services would prevent prolonged length of stay in psychiatric hospitals.
AB - Several clinical trials have demonstrated that linkage to an outreach service can prevent prolonged length of stay of patients at psychiatric hospitals. However, there has been no investigation of the association between length of stay in psychiatric hospital and regional supply of outreach services using national case mix data. The aim of this study was to clarify the relationship between length of stay in psychiatric hospital and regional supply of outreach services. We used data from the National Patient Survey in Japan, a nationally representative cross-sectional survey of inpatient care conducted every three years from 1996 to 2014. Data from 42,268 patients with schizophrenia who had been admitted to psychiatric hospitals were analyzed. After controlling for patient and regional characteristics, patients in regions with fewer number of visits for psychiatric nursing care at home had significantly longer length of stay in psychiatric hospitals. This finding implies that enhancement of the regional supply of outreach services would prevent prolonged length of stay in psychiatric hospitals.
KW - Community mental health service
KW - Hospital, psychiatry
KW - Length of stay
KW - Regional health planning
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U2 - 10.1016/j.psychres.2017.08.067
DO - 10.1016/j.psychres.2017.08.067
M3 - Article
C2 - 28865718
AN - SCOPUS:85028620667
SN - 0165-1781
VL - 258
SP - 295
EP - 298
JO - Psychiatry Research
JF - Psychiatry Research
ER -
