The Nordic comparative study on sectorized psychiatry. Utilization of psychiatric hospital care related to amount and allocation of resources to psychiatric services.
As a part of a Nordic comparative study on sectorized psychiatry, utilization of inpatient care was related to resources and dynamic qualities of psychiatric services in seven catchment areas in four Nordic countries. One-year treated incidence cohorts were used. Each patient was followed for 1 year after first contact with the psychiatric service. Data were collected concerning number of beds and staff, number of long-term patients and turnover rate of patients in inpatient care. Findings gave some support to the earlier reports that the utilization of inpatient care is determined by the supply of available beds. Highly staffed community services did not themselves reduce the use of inpatient services, but availability of day care services seemed to reduce utilization of inpatient care among psychotic patients.
Saarento
O
O
Department of Psychiatry, University of Oulu, Finland.
Hansson
L
L
Sandlund
M
M
Göstas
G
G
Kastrup
M
M
Muus
S
S
Nieminen
P
P
Zandrén
T
T
Oiesvold
T
T
D000328:Adult; D000368:Aged; D005260:Female; D005387:Finland; D006297:Health Services Accessibility; D006742:Hospital Bed Capacity; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data*; D008875:Middle Aged; D011570:Psychiatry / Q000458:organization & administration*; D013548:Sweden