This report analyzes nationally representative data to examine inpatient services provided to persons with schizophrenia.
The data are for patients admitted to general hospitals, private psychiatric hospitals, and State and county mental hospitals between 1970 and 1986 (weighted n=860,637).
The proportion of admissions diagnosed as having schizophrenia decreased from 21 percent in 1970 to 16 percent in 1986 ; this proportion decreased in public general hospitals and increased in private general hospitals.
The rate of admissions for schizophrenia decreased in public general hospitals and State and county mental hospitals and increased in private general hospitals.
The overall admissions rate decreased for whites with schizophrenia and increased for African-Americans, owing entirely to increased admissions of African-American males.
Private general hospitals and State and county mental hospitals relied less over time on private insurance ; the use of Medicare increased in both public and private general hospitals ; and Medicaid use increased in private general hospitals.
Further research on services for this population is necessary as a baseline for health care reform.
Schizophrenia Bulletin, 21 (1) : 75-85,1995.
Mots-clés Pascal : Schizophrénie, Psychose, Etude longitudinale, Admission hôpital, Hôpital général, Hôpital psychiatrique, Secteur privé, Secteur public, Race, Sexe, Paiement, Soin, Organisation santé, Santé mentale, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Schizophrenia, Psychosis, Follow up study, Hospital admission, General hospital, Psychiatric hospital, Private sector, Public sector, Race, Sex, Payment, Care, Public health organization, Mental health, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0462966
Code Inist : 002B18H05B. Création : 01/03/1996.