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Partial hospitalization: state of the art
Hospital & Community Psychiatry
|November 1, 1982
Summary
Partial hospitalization offers a cost-effective alternative to inpatient care, demonstrating favorable efficacy. Despite challenges like reimbursement issues, this treatment modality remains a valuable option.
Area of Science:
- Psychiatry
- Healthcare Management
Background:
- Partial hospitalization, a treatment modality since the 1930s, is gaining recent attention.
- Current definitions and guidelines for partial hospitalization are evolving.
Purpose of the Study:
- To trace the evolution of partial hospitalization definitions and standards.
- To review the efficacy and cost-effectiveness of partial hospitalization compared to inpatient treatment.
Main Methods:
- Literature review of studies on partial hospitalization.
- Analysis of factors influencing the adoption and reimbursement of partial hospitalization.
Main Results:
- Partial hospitalization consistently shows favorable comparisons with inpatient treatment in efficacy and cost-effectiveness.
- Barriers to increased use include definitional ambiguity, prejudice, institutional resistance, and reimbursement difficulties.
Conclusions:
- Partial hospitalization is a valid, fundable alternative to inpatient care.
- Despite slow growth and payer reluctance, partial hospitalization has an enduring role in mental health treatment.