在2014-2021年期间,在安大略省因精神分裂症住院的住院时间之间,量化机构层面的住院时间变化
Andrew Putman1,2, Joyce Mason3,4, Phillip Klassen1,5
1Ontario Shores Centre for Mental Health Sciences, Whitby, Ontario, Canada.
PLOS mental health
|February 9, 2026
概括
医院类型对精神分裂症患者的住院时间 (LOS) 有重大影响. 由于机构因素,大型社区医院的LOS变化最大,突出了医疗保健政策和临床干预的领域.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 精神病学流行病学 精神病学流行病学
- 卫生政策分析 卫生政策分析
背景情况:
- 患者护理的交付因个人需求和机构因素而有所不同.
- 了解机构对停留时间 (LOS) 的影响对于优化患者护理至关重要.
- 精神分裂症住院患者在管理护理时间方面面临着独特的挑战.
研究的目的:
- 量化安大略省因机构和患者层面因素而导致的精神分裂症患者住院LOS的变化.
- 为了比较不同医院类型中LOS变化的比例:大社区,教学和专业心理健康.
主要方法:
- 使用安大略省医疗记录 (超过10万名成年住院患者) 的回顾性队列研究.
- 分析期间:2014-2021财年,重点关注初级精神分裂症诊断.
- 逻辑线性混合效应模型用于评估归因于机构因素的LOS变化的比例.
主要成果:
- 平均LOS因医院类型有显著差异:精神健康专业 (85.4天) >教学 (42.8天) >大社区 (24.2天).
- 在大型社区医院 (29.3%) 观察到LOS在机构层面的变化比例最高.
- 精神卫生专业 (19.3%) 和教学医院 (19.7%) 的机构差异比例相似,但较低.
结论:
- 在不同医院类型中,由于机构因素导致的住院LOS变化的比例存在显著差异.
- 大型社区医院在精神分裂症患者的LOS中,机构水平变化的百分比更大.
- 研究结果表明,有机会进行政策和临床干预,可能包括捆绑护理途径和支持性住房,以解决发现的变异.
相关概念视频
Hospitals-II
1.2K
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
1.2K
Hospitals-I
1.7K
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
1.7K
Schizophrenia
1.0K
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
1.0K
What is Variation?
18.6K
Apart from the measures of central tendency, distribution, outliers, and the changing characteristics of data with time, an important characteristic of any data set is its variation or spread. In some data sets, the data values are concentrated closely near the mean; in others, the data values are more widely spread out from the mean.
The range, standard deviation, standard error, and variance are the different measures of variation.
Range: The range is the difference between its maximum and...
The range, standard deviation, standard error, and variance are the different measures of variation.
Range: The range is the difference between its maximum and...
18.6K
Biological Causes of Schizophrenia
650
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
650
Psychological and Sociocultural Causes of Schizophrenia
645
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
645


