scholarly journals The Effect of New Rural Cooperative Medical Scheme on the Socioeconomic Inequality in Inpatient Service Utilization Among the Elderly in China

2020 ◽  
Vol Volume 13 ◽  
pp. 1383-1390
Author(s):  
Jian Sun ◽  
Xiaoyin Lyu ◽  
Fan Yang
Keyword(s):  
Service Utilization ◽  
Socioeconomic Inequality ◽  
The Elderly ◽  
Inpatient Service ◽  
Cooperative Medical Scheme

scholarly journals Depression among caregivers of the elderly in need of care and their service utilization: A pilot study

1998 ◽  
Vol 52 (4) ◽  
pp. 463-465 ◽  
Author(s):  
YUMIKO ARAI ◽  
HIROKO MIURA ◽  
MASAKAZU WASHIO ◽  
KEI KUDO
Keyword(s):  
Pilot Study ◽  
Service Utilization ◽  
The Elderly ◽  
Need Of Care

scholarly journals Substance Use Disorders in Elderly Admissions to an Academic Psychiatric Inpatient Service over a 10-Year Period

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Dennis Dombrowski ◽  
Nelly Norrell ◽  
Suzanne Holroyd
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Patients ◽  
Psychiatric Inpatient ◽  
Psychiatric Inpatients ◽  
The Elderly ◽  
Inpatient Service ◽  
Chi Square ◽  
Lengths Of Stay ◽  
Psychiatric Admissions

Objective. There is a paucity of research on substance use disorders (SUDs) in the elderly psychiatric population. This study examines SUDs in a geriatric psychiatry inpatient service over a 10-year period.Methods. Data from 1788 elderly psychiatric inpatients from a ten-year period was collected. Variables collected included psychiatric diagnoses, SUD, number of psychiatric admissions, and length of stay. Those with and without a SUD were compared using Chi-Square or Student’st-test as appropriate using SPSS.Results. 11.7% (N=210) of patients had a SUD, and the most common substance was alcohol at 73.3% (N=154) or 8.6% of all admissions. Other SUDs were sedative-hypnotics (11%), opiate (2.9%), cannabis (1%), tobacco (1.4%), and unspecified SUD (38.6%). SUD patients were significantly younger, divorced, male, and less frequently readmitted and had shorter lengths of stay. The most common comorbid diagnoses were major depression (26.1%), bipolar disorder (10.5%), and dementia (17.1%).Conclusions. Over 10% of psychogeriatric admissions were associated with a SUD, with alcohol being the most common. Considering the difficulties in diagnosing SUD in this population and the retrospective study design, the true prevalence in elderly psychiatric inpatients is likely higher. This study adds to sparse literature on SUD in elderly psychiatric patients.

scholarly journals Socioeconomic inequality of overweight and obesity of the elderly in Iran: Bushehr Elderly Health (BEH) Program

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Alireza Raeisi ◽  
Mohammadbagher Mehboudi ◽  
Hossein Darabi ◽  
Iraj Nabipour ◽  
Bagher Larijani ◽  
...  
Keyword(s):  
Socioeconomic Inequality ◽  
The Elderly ◽  
Overweight And Obesity ◽  
Elderly Health

Elementi per una valutazione epidemiologica dell'attività di un Servizio Psichiatrico di Diagnosi e Cura

1992 ◽  
Vol 1 (3) ◽  
pp. 165-175 ◽  
Author(s):  
Marco Piccinelli ◽  
Pierluigi Politi
Keyword(s):  
General Hospital ◽  
Service Utilization ◽  
Psychiatric Inpatient ◽  
Sono State ◽  
Annual Number ◽  
Clinical Aspects ◽  
Inpatient Service ◽  
Daily Number ◽  
Number Of Patients ◽  
The Mean

RiassuntoScopo - Analizzare l'attività del Servizio Psichiatrico di Diagnosi e Cura di Pavia nel periodo compreso tra il 1978 (anno dell'apertura del servizio) ed il 1990. Disegno - Analisi retrospettiva dei dati contenuti in un archivio computerizzato, nel quale, a partire dal 1978, sono state raccolte informazioni relative alle caratteristiche socio-demografiche e nosologiche dei pazienti ricoverati, nonché alia modalità ed all'andamento dei ricoveri. Setting - Il Servizio Psichiatrico di Diagnosi e Cura di Pavia, il cui bacino di utenza è costituito dall'ULSS 77, comprendente la città di Pavia e 61 comuni limitrofi. Principali indici utilizzati - Per ciascun anno considerato sono stati ricavati: indicatori d'uso (primi ricoveri, ricoveri complessivi, giornate di degenza, pazienti ricoverati); presenza media giornaliera e media annuale dei massimi mensili di pazienti ricoverati; indicatori d'intensita d'uso o di flusso (degenza media, indice di occupazione media dei posti-letto, indice di turnover, indice di rotazione dei posti-letto). La produttivita del servizio è stata indagata utilizzando il monogramma di Barber. Risultati - Tra il 1978 ed il 1983 si è verificato un progressivo incremento nel numero dei pazienti ricoverati, dei ricoveri complessivi e delle giornate di degenza; è seguito un periodo stazionario protrattosi fino al 1987; infine, durante gli ultimi tre anni il numero dei ricoveri complessivi e quello dei pazienti ricoverati sono leggermente diminuiti, mentre le giornate di degenza sono rimaste sostanzialmente stabili. Il numero annuale dei pazienti entrati in contatto per la prima volta con il servizio ha segnato due picchi negli anni 1979 e 1983 (N = 250), diminuendo poi progressivamente fino ai valori di 139 nel 1989 e di 152 nel 1990. Le frazione percentuali dei primi ricoveri rispetto ai ricoveri complessivi e rispetto ai pazienti ricoverati si sono ridotte nel corso del periodo considerato: nel 1990 esse erano pari a 30% e 50% rispettivamente. Presenza media giornaliera e media annuale dei massimi mensili di pazienti ricoverati sono aumentate tra il 1979 ed il 1983, passando da 12 a 21 pazienti/die, e da 14 a 25 pazienti/die, rispettivamente; negli ultimi otto anni i due parametri si sono stabilizzati su valori di 20-21 e 24-25 pazienti/die rispettivamente. II nomogramma di Barber, costruito sulla base dei valori assunti dagli indicatori d'intensita d'uso nel corso di ciascun anno considerato, ha mostrato che tutti gli anni in esame si sono distribuiti entro la zona di produttivita accettabile, ad eccezione del 1980 e del 1981. Conclusioni - Dopo una fase iniziale di progressiva espansione, il servizio sembra aver raggiunto una fase di equilibrio dinamico con il suo bacino di utenza, fornendo per la maggior parte del periodo considerato un livello di produttività accettabile.Parole chiaveservizi psichiatrici, utilizzazione, dei servizi, produttività.SummaryObjective – To analyze the activity of a General Hospital Psychiatric Inpatient Service in Pavia between 1978 (when the service was set up) and 1990. Design - Retrospective analysis of data stored in a computerized database, in which, since 1978, information has been collected on sociodemographic and nosological characteristics of patients admitted to the service, as well as on clinical aspects of all admissions. Setting – A General Hospital Psychiatric Inpatient Service in Pavia, whose catchmentarea (ULSS 77) includes the town of Pavia and 61 close municipalities. Main outcome measures -For each yearover the period considered we reported on: the indices of service utilization (first admissions, total admissions, days of stay, number of admitted patients); the mean daily number of inpatients, and the mean of the largest daily numbers of inpatients by month; the indices of intensity of service utilization (mean lenght of stay, index of bed occupation, index of turnover, index of bed rotation). The service productivity was determined according to the Barber's nomogram. Results – Between 1978 and 1983 patients admitted to the service, total admissions, and days of stay gradually increased; a steady period then followed until 1987; over the last three years, total admissions and the number of admitted patients slightly decreased, while daysof stay remained substantially stable. The annual number of patients admitted for the first time to the service marked two peaks in 1979 and 1983 (N = 250), and then gradually decreased to 139 in 1989 and 152 in 1990. The percent ratio of first admissions by total admissions and that of first admissions by the number of admitted patients showed a reduction over the period considered: in 1990 they were 30% and 50% respectively. The mean daily number of inpatients and the mean of the largest daily numbers of inpatients by month increased between 1979 and 1983, from 12 to 21 and from 14 to 25 patients/day respectively; over the last eight years the values remained rather constant, around 20-21 and 24-25 patients/day respectively. The Barber's nomogram, obtained on the basis of the indices of intensity of service utilization over the period considered, showed that each year fell within the area of acceptable productivity, with the exception of 1980 and 1981. Conclusions – After an initial phase of gradual expansion, the service then reached asteadystate, providing an acceptable productivity over most of the period considered.

scholarly journals Inpatient service utilization in Iran: A longitudinal study

2021 ◽  
Author(s):  
Ali Mohammad Mosadeghrad ◽  
Mahya Abbasi ◽  
Hamed Dehnavi
Keyword(s):  
Service Utilization ◽  
Access To Health Care ◽  
Longitudinal Design ◽  
Admission Rate ◽  
Inpatient Admission ◽  
Care Utilization ◽  
Inpatient Service ◽  
Health Coverage ◽  
Hospital Beds ◽  
Per Capita

Abstract Background and aimHealth care utilization according to the real needs of the population is crucial to realization of universal health coverage. Access to health care as one of the intermediate goals of the health system has been a key consideration for policymakers. The purpose of the present research was to examine the state of inpatient service utilization in Iran.MethodsThis descriptive-analytical study uses a longitudinal design. National data obtained from the Ministry of Health and the Statistical Center of Iran for the period 2012–2017 were used to calculate hospital beds per capita and inpatient admission per capita. Data were analyzed in SPSS, and ArcGIS for Power BI was used for visualization.FindingsThe inpatient admission rate across the country increased by 32% from 2012 to 2017. Over the same period, hospital beds per capita increased by 15.7% from 1.34 to 1.55 per 1,000 people, and inpatient admission per capita increased by 23.9% from 113.6 to 140.8 per 1,000 people. There are wide variations between provinces in inpatient admission per capita. Yazd Province and Kohgiluyeh and Boyer-Ahmad Province had the highest and lowest inpatient admission per capita with 248 and 101 per 1,000 people, respectively.ConclusionAccess to hospital beds nationwide has a significant effect on inpatient service utilization. policymakers should consider demographic, epidemiological, and socioeconomic factors when determining the health needs of various regions of the country and distribute resources accordingly.

Sign in / Sign up

Export Citation Format

Share Document