title: Changing the structure of the hospitalized patients at the Psychiatric Clinic Vrapce.
abstract: BACKGROUND
  Psychiatric treatment in developed countries has significantly changed in the last few decades, with a significant shortening of the duration of hospitalization. Numerous West European countries are undertaking health system reforms to improve treatment efficiency.
  
  
  OBJECTIVE
  The aim of the study was to present the structure of hospitalized patients according to diagnostic categories of International Classification of Diseases and Related Health Problems - 10th Revision (ICD-10), and average duration of hospitalization from 2001 till 2010.
  
  
  METHODS
  Data was collected from hospital medical charts for the period from 2001 till 2010 on the number of hospitalized patients, diagnosis and duration of hospitalization.
  
  
  RESULTS
  Number of hospitalized patients increased by 27% (6309 vs. 8032). Average duration of hospitalization decreased for 45.1% (72.3 vs. 39.7 days), while the number of hospitalized patients decreased from 1284 (20.4%) in 2001 to 995 (12.4%) in 2010, the number of patients hospitalized because of depressive disorder increased from 309 (4.9%) in 2001 to 994 (12.4%) in 2010. The number of patients hospitalized because of enduring personality changes increased from 104 (1.7%) in 2001 to 449 (5.6%) in 2010.
  
  
  CONCLUSIONS
  In the last decade the number of hospitalized patients suffering from schizophrenia at the Psychiatric Clinic Vrapce decreased, while the number of those suffering from depression and enduring personality change increased. The number of hospitalizations in the observed period increased overall. Observed changes can be explained by new therapeutic approaches, but also by objective social and economic factors and organization of the healthcare system.
authors.affiliation: Psychiatric Clinic Vrapce, Zagreb, Republic of Croatia. petar.bilic@bolnica-vrapce.hr
authors.forename: Petar
authors.initials: P
authors.lastname: Bilić
authors.forename: Ana
authors.initials: A
authors.lastname: Ivanis
authors.forename: Domagoj
authors.initials: D
authors.lastname: Vidović
authors.forename: Vlado
authors.initials: V
authors.lastname: Jukić
mesh_terms: D017523:Croatia; D003866:Depressive Disorder / Q000628:therapy; D006760:Hospitalization / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D012559:Schizophrenia / Q000628:therapy; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy