Why do psychiatric patients in Korea stay longer in hospital?

Kim, Agnus M.

doi:10.1186/s13033-016-0110-6

Cited by 15 publications

(20 citation statements)

References 1 publication

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“… 35 In the health insurance system, the medical cost per day is fixed for Medicaid patients with schizophrenia regardless of the therapy provided. 36 When the price is converted to cost per day, costs for inpatient’s and outpatient’s treatment are 2770 won (about US$2.4) and 50 000 won (about US$44.1), respectively. 37 In this system, medical institutions are required to use low-cost drugs in order to realise profits.…”

Section: Discussionmentioning

confidence: 99%

Changes in antipsychotic drug usage and factors affecting the use of typical drugs based on nationwide health insurance data in South Korea

Lee¹,

Ryu

Soh

et al. 2018

BMJ Open

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ObjectivesTo determine changes in antipsychotic drug usage in all South Korean patients with schizophrenia in 2011–2015 and factors affecting their utilisation in 2015.Design and settingRetrospective cohort study using health insurance claims data on patients with schizophrenia in South Korea in 2011–2015.ParticipantsAll treated patients with schizophrenia in South Korea in 2011–2015. The number of patients with schizophrenia was 171 302 in 2011, 175 488 in 2012, 177 763 in 2013, 180 079 in 2014 and 183 427 in 2015.Main outcome measuresChanges in antipsychotic drug usage and factors affecting the use of antipsychotics.ResultsAmong patients with schizophrenia, there were tendencies of decreased use of antipsychotic combination therapy of typical drugs (from 11.5% to 7.5%) but increased use of combination therapy of atypical drugs (from 21.8% to 29.0%). Factors affecting the use of typical drugs were sex, age, geographical region, type of benefits/insurances and type of medical institutions. Use of typical antipsychotics was increased by age (OR=1.02, 95% CI 1.02 to 1.02). It was higher in men (OR=1.27, 95% CI 1.23 to 1.30) than that in women. It was higher in Medicaid benefiters (OR=4.49, 95% CI 4.35 to 4.64) than that in patients with health insurance. Use of typical drugs was higher among patients treated in general hospitals (OR=1.46, 95% CI 1.32 to 1.64), primary hospitals (OR=3.25, 95% CI 2.95 to 3.59), long-term care hospitals (OR=3.00, 95% CI 2.59 to 3.49) and clinics (OR=8.87, 95% CI 8.06 to 9.76) compared with that in tertiary care hospitals. Compared with metropolitan region, higher use of typical antipsychotics was seen in Gangwon (OR=1.14, 95% CI 1.05 to 1.25), Jeolla (OR=1.32, 95% CI 1.26 to 1.39) and Gyeongsang (OR=1.14, 95% CI 1.10 to 1.18) provinces.ConclusionsResults of this study confirmed changes of antipsychotic drug usage from typical to atypical antipsychotics in the treatment of schizophrenia and identified factors affecting the use of typical drugs, in contrast with current treatment trend in South Korea. These results may be used in the improvement of a medical system.

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Section: Discussionmentioning

confidence: 99%

Changes in antipsychotic drug usage and factors affecting the use of typical drugs based on nationwide health insurance data in South Korea

Lee¹,

Ryu

Soh

et al. 2018

BMJ Open

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“…After the implementation of the Mental Health Act, treatment for patients with mental illness was available in hospitals, resulting in an increasing number of public and private psychiatric beds. Table 2 shows the number of psychiatric beds from 1984 to 2017 [ 2 , 3 , 4 , 5 , 6 , 7 ]. The total number of psychiatric beds increased steadily and has decreased or maintained at a similar level since 2013.…”

Section: Admission System For Mental Disordersmentioning

confidence: 99%

“…Differing characteristics of the state of mental health care in each country stem from the diversity of their systems and cultures. A nation’s healthcare system, including the payment system, affects the behavior of its providers and patients, and laws can affect the criteria for admission [ 2 ]. Additionally, resources, such as budgets and the availability of experts, determine psychiatric care characteristics.…”

Section: Introductionmentioning

confidence: 99%

A Review of the Admission System for Mental Disorders in South Korea

Kwonchul

Paik

et al. 2020

IJERPH

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This study presents a comprehensive overview of the characteristics of mental health problems and admission system in South Korea. We compared the mental health-related indicators data from South Korea to data from other Organization for Economic Cooperation and Development (OECD) countries. South Korea was identified as the country with the highest suicide rate, the longest length of stay in hospitals for mental disorders, and the highest number of psychiatric care beds. These results can be explained by considering the admission system for mental disorders. We reviewed the admission system and the Mental Health Promotion and Welfare Act, providing direction for improving the system.

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Section: Introductionmentioning

confidence: 99%

“…Psychiatric care in Korea has long been highly dependent on inpatient care with high numbers of psychiatric beds and long lengths of stay [11]. This over-dependence on institutionalization in psychiatric care was related to a high rate of involuntary admission, which was made possible by the law [11]. As a result of increasing public awareness of involuntary admission and the rights of psychiatric patients, the Korean government revised the related law in 2016, altering the requirements for involuntary admission and lengthening of stays.…”

Section: Introductionmentioning

confidence: 99%

Crimes by people with schizophrenia in Korea: comparison with the general population

Kim

2019

BMC Psychiatry

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BackgroundThis study was performed to describe the prevalence of crimes committed by persons with schizophrenia using population-based data and to compare the crime prevalence of persons with schizophrenia and the general population.MethodsThe number of crimes was obtained from the Korean National Policy Agency (KNPA) crime statistics (2012–2016), which provide the number of crimes in terms of the criminal’s mental status and mental health conditions. For the number of persons with schizophrenia, estimates were used which had been calculated from the inpatient and outpatient claims from the National Health Insurance Service. The crime prevalence in persons with schizophrenia was calculated according to the types of crimes, and a comparison with the general population was conducted.ResultsThe overall crime prevalence of persons with schizophrenia was 72.7 to 90.3 per 10,000 from 2012 through 2016, which was about one fifth that of the general population. While the crime rates of the persons with schizophrenia were lower than the general population in most types of crimes including violence, intellectual crimes, and theft, the prevalence of murder, arson, and drug-related crimes in persons with schizophrenia was about five times, six times, and two times that of the general population respectively.ConclusionThe higher prevalence of serious offences among persons with schizophrenia suggests the need for closer and more appropriate care for the population, which would be achieved through effective continuity of institutional and community care.

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Why do psychiatric patients in Korea stay longer in hospital?

Cited by 15 publications

References 1 publication

Changes in antipsychotic drug usage and factors affecting the use of typical drugs based on nationwide health insurance data in South Korea

Changes in antipsychotic drug usage and factors affecting the use of typical drugs based on nationwide health insurance data in South Korea

A Review of the Admission System for Mental Disorders in South Korea

Crimes by people with schizophrenia in Korea: comparison with the general population

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