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Profiling activity in acute psychiatric services
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Croudace, Tim, Beck, A., Singh, Swaran P. and Harrison, Glynn (1998) Profiling activity in acute psychiatric services. Journal of Mental Health, Volume 7 (Number 1). pp. 49-57. doi:10.1080/09638239818337 ISSN 0963-8237.
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Official URL: http://dx.doi.org/10.1080/09638239818337
Abstract
Unresolved debates about the appropriate number of beds in acute psychiatry have mostly relied on data from population level relationships between deprivation and admission rates. We suggest a need for new analytical approaches that utilise data on patient characteristics and resource utilisation that are sensitive to the changing dynamics of admission appropriate for 'time to event' utilisation outcomes to describe and predict time to discharge, i.e. duration ofadmission in a 6-month cohortadmitted by community mentalhealth teams in Nottingham. Kaplan-Meier estimates of median lengths of stay across sector teams ranged from 19 to 35 days reflecting different discharge rates. Significant sector differences remained after adjusting for patient level sociodemographic characteristics, routine clinical diagnoses, and other prognostic factors for length of stay in Cox regression models. These data provide evidence that sector teams differ in their patient management strategies having implications for resource management. The survival/event history analysis approach is a potentially useful method of feeding back current service activity. Future studies investigating community mental health teams should incorporate 'true' (non-proxy) outcomes such as health status, needs or social functioning, as well as service outcomes. processes. We apply statistical methods
| Item Type: | Journal Article | ||||
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| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Psychiatric hospital care -- Great Britain -- Evaluation, Psychiatric hospitals -- Length of stay -- Great Britain | ||||
| Journal or Publication Title: | Journal of Mental Health | ||||
| Publisher: | Informa Healthcare | ||||
| ISSN: | 0963-8237 | ||||
| Official Date: | 1998 | ||||
| Dates: |
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| Volume: | Volume 7 | ||||
| Number: | Number 1 | ||||
| Page Range: | pp. 49-57 | ||||
| DOI: | 10.1080/09638239818337 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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