Hospitalization for psychiatric illness among community-dwelling elderly persons in 1992 and 2002.
OBJECTIVE
The authors evaluated the evolution of inpatient care for psychiatric illness in 1992 and 2002 for senior community-dwelling Medicare beneficiaries.


METHODS
National Medicare Provider Analysis and Review files for 1992 and 2002 were analyzed.


RESULTS
From 1992 to 2002, rates of inpatient hospital use for treatment of psychiatric illness declined 28%, from 429 to 311 stays per 100,000 eligible beneficiaries, mostly because of reduced hospitalization for depression, and next, for substance use disorder. Inpatient care patterns for patients with schizophrenia and bipolar disorder changed little. Although stays were shorter in 2002 in general, rehospitalization rates remained the same in 2002 as they were in 1992.


CONCLUSIONS
Trends in hospitalizations differed by diagnoses, which may be representative of general changes in treatment philosophy during the 1990s.
Akincigil
Ayse
A
Institute for Health, Health Care Policy, and Aging Research, Rutgers, the State University of New Jersey, NJ, USA. aakinci@rci.rutgers.edu
Hoover
Donald R
DR
Walkup
James T
JT
Prince
Jonathan D
JD
Kalay
Ece
E
Crystal
Stephen
S