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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Development of Psychiatric Services Providing an Alternative to Full-Time Hospitalization Is Associated with Shorter Length of Stay in French Public Psychiatry
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The Development of Psychiatric Services Providing an Alternative to Full-Time Hospitalization Is Associated with Shorter Length of Stay in French Public Psychiatry

机译：精神科服务的发展为全日制住院提供了另一种选择，这与法国公共精神病院的住院时间较短有关

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International recommendations for mental health care have advocated for a reduction in the length of stay (LOS) in full-time hospitalization and the development of alternatives to full-time hospitalizations (AFTH) could facilitate alignment with those recommendations. Our objective was therefore to assess whether the development of AFTH in French psychiatric sectors was associated with a reduction in the LOS in full-time hospitalization. Using data from the French national discharge database of psychiatric care, we computed the LOS of patients admitted for full-time hospitalization. The level of development of AFTH was estimated by the share of human resources allocated to those alternatives in the hospital enrolling the staff of each sector. Multi-level modelling was carried out to adjust the analysis on other factors potentially associated with the LOS (patients’, psychiatric sectors’ and environmental characteristics). We observed considerable variations in the LOS between sectors. Although the majority of these variations resulted from patients’ characteristics, a significant negative association was found between the LOS and the development of AFTH, after adjusting for other factors. Our results provide first evidence of the impact of the development of AFTH on mental health care and will provide a lever for policy makers to further develop these alternatives.
机译：关于精神卫生保健的国际建议主张减少全日制住院的住院时间（LOS），而开发全日制住院治疗（AFTH）的替代方法可有助于与这些建议保持一致。因此，我们的目标是评估法国精神病学部门AFTH的发展是否与全日制住院期间LOS的降低有关。使用来自法国国家精神病护理出院数据库的数据，我们计算了全日制住院患者的LOS。 AFTH的发展水平是通过分配给各部门工作人员的医院中那些替代方案所分配的人力资源份额来估算的。进行了多级建模，以调整对可能与LOS相关的其他因素（患者，精神科和环境特征）的分析。我们观察到部门之间的服务水平差异很大。尽管这些差异大部分是由患者的特征引起的，但在调整其他因素后，LOS与AFTH的发展之间存在显着的负相关性。我们的结果为AFTH的发展对精神卫生保健的影响提供了初步证据，并将为政策制定者进一步开发这些替代方案提供杠杆。

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