Academic Journal
The influence of institutional characteristics on length of stay for psychiatric patients: A national database study in South Korea
| Title: | The influence of institutional characteristics on length of stay for psychiatric patients: A national database study in South Korea |
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| Authors: | Woojin Chung, Woo-Hyun Cho, Chung Won Yoon |
| Contributors: | Woojin Chung, Woo Hyun Cho, Chung Won Yoon, Chung, Woo Jin, Cho, Woo Hyun |
| Source: | Social Science & Medicine. 68:1137-1144 |
| Publisher Information: | Elsevier BV, 2009. |
| Publication Year: | 2009 |
| Subject Terms: | Adult, Hospitals, Psychiatric, Male, Adolescent, Databases, Factual, Health Facility Administration, Personnel Staffing and Scheduling, Personnel Staffing and Scheduling/statistics & numerical data, Institutions, Databases, Young Adult, 03 medical and health sciences, Sex Factors, 0302 clinical medicine, Residence Characteristics, South Korea, Humans, Factual, Aged, Demography, Length of Stay/statistics & numerical data, Korea, Mental Disorders, Ownership, Residence Characteristics/statistics & numerical data, Age Factors, Hospital characteristics, Length of Stay, Middle Aged, Hospitals, Psychiatric/organization & administration, Psychiatric care, 3. Good health, Mental Disorders/therapy, Length of stay, Female |
| Description: | The institutionalization of psychiatric patients has put a tremendous burden on many societies, but few studies have examined the effects of institutional characteristics on patient length of stay (LOS). This paper investigated the association between institutional characteristics and LOS for 160,517 psychiatric patients in South Korea by applying a two-level modeling technique to administrative claims databases covering the entire patient population. Patient LOS, expressed in terms of days, was analyzed by taking account of institutional type, ownership, location, inpatient capacity, staffing, and patient demographics. The characteristics of inpatients were used as control variables and consisted of gender, age, sub-diagnosis, and the type of national health security program. The main findings of this study are: (1) patient LOS was 69% longer at psychiatric hospitals than at tertiary-care hospitals; (2) neither location nor inpatient capacity was associated with LOS; (3) larger staffs reduced LOS; and (4), LOS increased with a higher proportion of male inpatients, inpatients > or =65 years old, or inpatients diagnosed with organic or schizophrenic disorders, possibly through contextual effects. The results of this study suggest that researchers and policy makers could improve their assessment of psychiatric patient LOS and its association with health outcome by taking into account institutional characteristics and using multi-level analyses. |
| Document Type: | Article |
| File Description: | 1137~1144 |
| Language: | English |
| ISSN: | 0277-9536 |
| DOI: | 10.1016/j.socscimed.2008.12.045 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/19167140 https://www.ncbi.nlm.nih.gov/pubmed/19167140 https://econpapers.repec.org/RePEc:eee:socmed:v:68:y:2009:i:6:p:1137-1144 https://ir.ymlib.yonsei.ac.kr/handle/22282913/105833 https://www.sciencedirect.com/science/article/pii/S0277953608006916 http://europepmc.org/abstract/MED/19167140 https://ideas.repec.org/a/eee/socmed/v68y2009i6p1137-1144.html |
| Rights: | Elsevier TDM CC BY NC ND |
| Accession Number: | edsair.doi.dedup.....a5c75fb8b0cc8a90cf1374ef8c9557d2 |
| Database: | OpenAIRE |
| ISSN: | 02779536 |
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| DOI: | 10.1016/j.socscimed.2008.12.045 |