Self‐admission in psychiatry: The ethics
| Autor: | Manne Sjöstrand, Mattias Strand |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Mental Health Services
medicine.medical_specialty Health (social science) media_common.quotation_subject Compromise 0603 philosophy ethics and religion Public healthcare Resource Allocation Patient Admission Recurrence Agency (sociology) Humans Medicine Psychiatry media_common Inpatient care business.industry Mental Disorders Health Policy 06 humanities and the arts Patient Acceptance of Health Care Hospitalization Philosophy Increased risk Patient Satisfaction Personal Autonomy Hospital admission Health Resources 060301 applied ethics business Autonomy Medical ethics |
| Zdroj: | Bioethics. 33:132-137 |
| ISSN: | 1467-8519 0269-9702 |
| Popis: | Self-admission to inpatient treatment is a novel approach that aims to increase agency and autonomy for patients with severe psychiatric illness and a history of high utilization of inpatient care. By focusing on brief, preventive hospital admissions in times of increased risk of relapse, self-admission seeks to reduce the need for prolonged episodes of inpatient treatment. Participants are generally satisfied with the model, which is not surprising given that self-admission programs allocate a scarce resource-hospital beds-to a select group. However, the patients targeted by these programs are not necessarily those in most need of hospital admission, which may compromise the commonly accepted 'principle of need' in allocation of public healthcare resources. In light of the current lack of consistent evidence of the usefulness and cost-effectiveness of the model, several aspects need to be further studied in order to guide any large-scale implementation of self-admission in psychiatry. |
| Databáze: | OpenAIRE |
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