一所公立醫學中心精神科住院病患之分析

Analysis of the Psychiatric Inpatients in a Medical Center

蔡世仁(Shih-Jen Tsai) ； 陳展航(Chin-Hong Chang) ； 沈楚文(Cho-Boon Sin)

《慈濟醫學雜誌》 8卷1期 (1996/03) Pp. 55-59

https://doi.org/10.6440/TZUCMJ.199603.0055

摘要

本研究回溯一所公立醫學中心一年內精神科住院病患的臨床資料並作分析，以期作醫療效策及保險付費的參考。住院病患共770人次，收集之資料括別、年齡、身份、診斷、住院天數、強制入院、一年內再入院與出院類別，並作相關分析比較。結果顯示住院病患以20歲至39歲及60歲至69歲兩個年齡層最多；出院診斷以精神分裂症及情感性疾病多，老年患者有高比率的器質性精神症；住院天數與性別、年齡無關，但與出院診斷相斷；一年內再入院之人次佔入院入次之24%；自動出院率為15%；出院病患有8％轉其它機構。其它分析及與過去報告的比較，在文內討論。

關鍵字

住院天數 ； 診斷 ； 精神科住院病患

並列摘要

This retrospective study describes characteristics of 770 psychiatric inpatients in a medical center during a one year period. Information collected on the inpatients’ included sex, age, marital status, diagnosis, days of stay, the circumstances of admission, and the circumstances of discharge and readmission if they occurred during the one-year period. The results show that there were two ages when admission peaked. The majority of psychiatric disorders were mood disorder and schizophrenia. A significant age difference was found between inpatients diagnosed with these two disorders. Geriatric patients had a large proportion of organic mental disorders. Hospitalization was longer for inpatients with schizophrenia than for those with either neurosis or substance abuse. Neither sex nor age affected the days of stay. In the one –year period the rate of discharges against medical advice (DAMA) was 15%, and the rate of readmission was 24%. Eight percent of the patients who were discharged were transferred to other institutions. Other analyses and comparisons with previous reports are included in this article. The need for further epidemiological and hospital utilization studies to provide essential data for rational planning of psychiatric services and reimbursement is emphasized.

並列關鍵字

days of stay ； diagnoses ； psychiatric inpatient