Social indicators and psychiatric admission rates: a case-register study in the Netherlands

Sytema, Sjoerd

doi:10.1017/s0033291700014768

Cited by 38 publications

(20 citation statements)

References 18 publications

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“…A recent study by Sytema (28) concerning the relationship between social indicators and inpatient admission rates showed that marital status, sex, and age were related to admission rates, even though the strength of the relationship varied with the diagnosis (28). An interesting finding in the present study was that being a multiple user of inpatient services did not show any relationship to the use of daycare or outpatient services.…”

Section: Discussioncontrasting

confidence: 44%

The Nordic comparative study on sectorized psychiatry: Clinical and social patient characteristics predicting use of psychiatric services during a 1-year follow-up study

Hansson

Vinding

Muus³

et al. 1996

Nordic Journal of Psychiatry

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G, Saarento 0, Sandlund M, LBnnerberg 0, 0iesvold T. The Nordin comparative study on sectorized psychiatry. Clinical and social patient characteristics predicting use of psychiatric services during a 1-year follow-up study. Nord J Psychiatry 1996;50:43342. Oslo. ISSN 0803-9488.As part of a Nordic comparative study on sectorized psychiatry in seven Nordic catchment areas a prospective investigation of clinical and social characteristics of the patients predicting utilization of psychiatric services during a 1-year follow-up study was performed. The results showed that a higher utilization of services was related to older age, living alone, not working on the open labor market, and female sex. Clinical characteristics of a higher utilization were a psychosis diagnosis and a history of inpatient and outpatient treatment. The use of resources was very skewed insofar as the 10% of the patients constituting the high consumption group accounted for 90% of all inpatient days, 75% of all days in day care, and 2/3 of the use of services as measured by a Service Consumption Score. To be a multiple user of inpatient services was, however, only predicted by diagnosis. It is concluded that considerations of social support and social integration obviously are important in the planning of these resources divided into different care levels in community-based services but also in the planning of the treatment for the individual patient. [3 Community psychiatric services, Social indicators, Utifizution of care. Nord J Psychiatry Downloaded from informahealthcare.com by Mcgill University on 12/03/14 For personal use only. Nord J Psychiatry Downloaded from informahealthcare.com by Mcgill University on 12/03/14 For personal use only.

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Section: Discussioncontrasting

confidence: 44%

The Nordic comparative study on sectorized psychiatry: Clinical and social patient characteristics predicting use of psychiatric services during a 1-year follow-up study

Hansson

Vinding

Muus³

et al. 1996

Nordic Journal of Psychiatry

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“…With growing distance from the facility, the hospitalization risks in the addiction-psychiatric field seem to decrease. From this it can be concluded that spatial availability of the facilities plays an important role in the use of psychiatric inpatient services by patients with alcohol abuse [4,16].…”

Section: Discussionmentioning

confidence: 85%

“…Since big cities have a large number of internal/surgical facilities, when planning hospitals it would be of great importance to identify and characterize those areas of the city with the greatest Maylath/Seidel/Schlattmann number of acute conditions, in order to determine the location of future addiction-specific facilities in general hospitals, according to demand. Based on knowledge about the utilization behavior of psychiatric patients, it is recommended that, among the characteristics of the investigated areas, besides some service variables like the spatial availability of the existing stationary facilities [4,5], the supply of psychiatrists within a given area [5,6], and the density of the social support network, some other variables describing the social status of the inhabitants of a given city district should also be considered. Among the markers of social deprivation, unemployment has generally proved to be the best predictor for hospitalization [7,8].…”

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confidence: 99%

Inequity in the Hospital Care of Patients with Alcoholism and Medication Addiction

Maylath

Seidel²

2000

Eur Addict Res

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In a psychiatric/ecological study, the authors investigated which aspects of a town district would provide an explanation to the fact that alcoholics are treated above average in addiction-psychiatric wards in a given city district, while in other districts treatment is carried out in internal medical wards. The research was based on data collected between 1988 and 1994 from approximately 77% of all patients suffering from alcohol and legal drug abuse (n = 15,473) in 41 hospitals in Hamburg. It was established that in somatic departments, mainly internal medicine, 70% of male and 67% of female patients were admitted for alcohol and legal drug abuse. The results of a geographical analysis of hospitalization risks showed that the addiction-psychiatric facilities of psychiatric wards are mainly utilized by inhabitants from nearby districts. Risks of above-average hospitalization for alcoholics and legal drug abusers in internal wards, as well as insufficient addiction-psychiatric care, are to be expected in town districts where a shortage of psychiatrists exists, and where the unemployment rate is high. In these crucial areas, addiction-specific facilities, such as qualified programs for detoxication or techniques for short intervention, should be established within the framework of an addiction-specific liaison service in general hospitals.

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“…Little is still known about the possible differences between the filters which determine the now of patients into inpatient care. Examples here might be referral patterns among GPs and out-patient care providers, patterns in the way inhabitants seek help or the accessibility of facilities (Sytema, 1991). Urban and rural areas can differ in terms of attitudes to psychiatric help.…”

Section: Discussionmentioning

confidence: 99%

Urbanisation and Psychiatric Admission Rates in the Netherlands

Dekker¹,

Peen²,

Gardien³

et al. 1997

Int J Soc Psychiatry

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This article discusses the possible links between urbanisation, demographic variables and psychiatric admission rates. Inpatient psychiatric admission rates were determined for the 647 Dutch municipalities. Then urbanisation was determined using 'area address density', a unit of measurement developed by the Dutch Central Statistical Office. Five degrees of urbanisation are distinguished. Twentynine demographic variables which might have a theoretical link with admission rates were collated for all municipalities.The results show that standardised total admission rates increase with urbanisation.The mean admission rate for the least urbanised municipalities is 2.02 per 1000 resident population, the rate for the most urbanised municipalities is 3.72 per 1000. It was then found that the prevalence of demographic risk factors increased with urbanicity. At the same time, it was found that almost all demographic variables correlated with admission rates. A multiple regression model -which accounts for 22% of variance -shows that income distribution, address density and mortality all contribute significantly to the variance in admission rates for the 647 Dutch municipalities.

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Social indicators and psychiatric admission rates: a case-register study in the Netherlands

Cited by 38 publications

References 18 publications

The Nordic comparative study on sectorized psychiatry: Clinical and social patient characteristics predicting use of psychiatric services during a 1-year follow-up study

The Nordic comparative study on sectorized psychiatry: Clinical and social patient characteristics predicting use of psychiatric services during a 1-year follow-up study

Inequity in the Hospital Care of Patients with Alcoholism and Medication Addiction

Urbanisation and Psychiatric Admission Rates in the Netherlands

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