Inner london collaborative audit of admissions in two health districts. I: Introduction, methods and preliminary findings.

Autor:	Flannigan, C. B., Glover, G. R., Feeney, S. T., Wing, J. K., Bebbington, P. E., Lewis, S. W.
Předmět:	MENTAL health facility admission & discharge PSYCHIATRIC hospital admission & discharge PEOPLE with mental illness CARE of people AFFECTIVE disorders MENTAL health services HAMMERSMITH (London England) AUDITING HOSPITAL care LENGTH of stay in hospitals HOSPITAL admission & discharge LONGITUDINAL method REHABILITATION of people with mental illness PATIENTS PSYCHIATRIC hospitals RESEARCH evaluation PILOT projects CROSS-sectional method MENTAL health services administration
Zdroj:	British Journal of Psychiatry; Dec94, Vol. 165, p734-734, 10p
Abstrakt:	Background: There is pressure on acute admission services in inner-city areas. Two deprived London districts with markedly different acute bed ratios but similar sociodemographic backgrounds were compared to test the hypothesis that more facilities mean better service.Method: An instrument for auditing the use of short-stay hospital beds was constructed to collect information concerning admissions to, and short-stay patients in, the chosen districts during a three-month period.Results: There was a higher admission rate and substantially greater use of beds per unit population in south Southwark than in Hammersmith & Fulham. Much of the difference was attributable to a higher rate of admission of patients with affective disorders in south Southwark.Conclusions: The results are not explained by variations in population need, longer in-patient stay, or poorer aftercare leading to early relapse. The question of whether there is over-provision of services compared with real need in south Southwark, or under-provision (particularly for people with affective disorders) in Hammersmith & Fulham, is considered but left open for discussion following a study of ethnic issues and the reasons for admission. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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