Studies to assess quality of care have become increasingly important for research and policy purposes.
To evaluate the difference in quality of care between elderly depressed patients hospitalized in specialty psychiatric units and those hospitalized in general medical wards.
We reviewed retrospectively the medical charts of 2746 patients with depression hospitalized in 297 general medical hospitals in five different states.
We found that (1) a higher percentage of admissions on the psychiatric units were considered appropriate, (2) overall psychological assessment was better on the psychiatric unit, (3) patients were more likely to receive psychological services on the psychiatric wards but more likely to receive traditional general medical services on medical wards, (4) there were more inpatient general medical complications on the psychiatric wards, and (5) implicit measures of clinical status at discharge were better for those on the psychiatric unit.
Although limited by reliance on medical record abstraction and a retrospective study design, our data indicate that the quality of care for the psychological aspects of the treatment of depression may be better on psychiatric units, while the quality of general medical components of care may be better on general medical wards.
Mots-clés Pascal : Etat dépressif, Trouble humeur, Vieillard, Homme, Etude comparative, Service hospitalier, Psychiatrie, Hôpital général, Etats Unis, Amérique du Nord, Amérique, Santé mentale, Qualité, Soin
Mots-clés Pascal anglais : Depression, Mood disorder, Elderly, Human, Comparative study, Hospital ward, Psychiatry, General hospital, United States, North America, America, Mental health, Quality, Care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0475809
Code Inist : 002B18H05B. Création : 01/03/1996.