精神病床需求估计:一个系统的审查和元分析
Adrian P Mundt1,2, Enzo Rozas-Serri3,2, Francesco D Fritz4
1Medical Faculty, Universidad Diego Portales, Santiago, Chile.
Psychological medicine
|September 26, 2024
概括
精神病床需求估计在2000年之前下降,自那以后稳定下来. 目前精神病医院的病床数量仍然低于估计的需求,这表明存在持续的差距.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 估计所需的精神病床数量对于医疗保健规划至关重要.
- 精神病床需求的历史趋势和实际的床位供应需要综合.
研究的目的:
- 为了审查和综合精神病床需要估计.
- 分析这些估计的变化随着时间的推移.
- 将需求估计与现有精神病床的患病率进行比较.
主要方法:
- 在多个数据库 (PubMed,Embase,PsycINFO等) 进行系统的文献搜索. 在2022年9月之前.
- 包括提供精神病医院住院病床需求估计的出版物.
- 提取需求估计,停留时间和估计年份;使用中位数和四分位数间范围 (IQR) 进行综合.
主要成果:
- 65个出版物产生了98个估计;床位需求估计下降趋势直到2000年,然后稳定下来.
- 每10万人口的中位数估计 (2000年以后):47 (未指定的逗留),28 (短期逗留),10 (长期逗留).
- 从2000年开始,所需病床与实际病床的平均患病率为1.8,表明持续存在缺口.
结论:
- 在经历了历史性的下降后,精神病床需求估计在过去二十年中稳定下来.
- 可用精神病床的数量始终低于估计的需求.
- 医疗保健系统在满足精神病患者住院服务需求方面面临着持续的挑战.
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