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The decision to hospitalize.

E B Feigelson, E B Davis, R Mackinnon

    The American Journal of Psychiatry
    |March 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

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    Psychiatric hospitalization decisions are influenced by patient needs and the specific hospital. Facility characteristics significantly impact whether a patient receives inpatient psychiatric care.

    Area of Science:

    • Psychiatry
    • Health Services Research
    • Hospital Administration

    Background:

    • General hospital emergency rooms (ERs) manage psychiatric emergencies.
    • Decisions regarding psychiatric hospitalization are complex and multifactorial.
    • Understanding determinants of hospitalization is crucial for effective mental healthcare delivery.

    Purpose of the Study:

    • To identify key factors influencing psychiatric hospitalization decisions in general hospital ERs.
    • To examine the role of patient-specific issues versus facility-specific factors.
    • To inform policy on ER staffing and organization for psychiatric care.

    Main Methods:

    • Exploratory study design.
    • Data collection across four general hospital emergency rooms in Manhattan.

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  • Analysis of factors influencing psychiatric hospitalization decisions.

    • Main Results:

    • The nature and severity of a patient's psychiatric condition were primary drivers for hospitalization.
    • The specific hospital or facility was also a significant determining factor in the hospitalization decision.
    • Variations in decision-making processes may exist across different healthcare settings.

    Conclusions:

    • Psychiatric hospitalization decisions involve both clinical and systemic factors.
    • Healthcare policy should consider facility-level variables in the organization and staffing of ER psychiatric services.
    • Further research is needed on service delivery models in emergency psychiatric care.