Engelsk titel: Can case-mix explain differences in involuntary admissions?
Läs online
Författare:
Björngaard JH
;
Heggestad T
Email: johan.h.bjorngaard@unimed.sintef.no
Språk: Nor
Antal referenser: 22
Dokumenttyp:
Artikel
UI-nummer: 02011488
Sammanfattning
INTERPRETATION : The analysis also indicated that other explanatory factors should be explored, such as differences in admission threshold and in medical decision in explaining variation in involuntary psychiatric admissions.
RESULTS : The analysis shows that a large amount of the observed variation in involuntary admissions is related to differences in case-mix. However, for patients involuntarily admitted for observation, the case-mix was found to have less explanatory effect. Age, sex, previous admissions and diagnoses were used to operationalize hospital case-mix.
MATERIAL AND METHODS : The observed differences in involuntary admissions to Norwegian psychiatric hospitals were compared to those expected on the basis of their case-mix, as predicted by our multivariate model (multinomial logistic regression). The material was based on a cross-sectional registration of hospitalized patients in Norwegian psychiatric hospitals as of 1 November 1999. Thirty-two hospitals (all Norwegian hospitals that take involuntary admissions) supplied data on a total of 1,500 patients.
BACKGROUND : The proportion of patients admitted involuntarily varies considerably among Norwegian psychiatric hospitals. We tested the hypothesis that these variations are the result of differences in case-mix.