The authors'goal was to assess the effects of facility ownership on the characteristics of psychiatric in patients treated in public, private nonprofit, or proprietary general hospitals.
Data from the 1993 National Hospital Discharge Survey were analyzed to determine the number, sociodemographic and diagnostic composition, and treatment characteristics of patients with primary mental disorders discharged from public, private nonprofit, and proprietary general hospitals.
An estimated 1.83 million patients with a primary mental disorder diagnosis were discharged from general hospitals in 1993 ; the number of such discharges in the National Hospital Discharge Survey, which excluded federal general hospitals, was 13,086.
These patients were unevenly distributed among public (9.4%), private nonprofit (78.9%), and proprietary (11.7%) hospitals.
Psychiatric patients of public and private nonprofit hospitals were more likely to be diagnosed with schizophrenia (public : 23.4%, nonprofit : 18.8%, proprietary : 12.6%), a comorbid substance-related disorder (public : 29.9%, nonprofit : 31.0%, proprietary : 17.4%), a personality disorder (public : 11.6%, nonprofit : 11.3%, proprietary : 4.7%), or a general medical disorder (public : 62.4%, nonprofit : 57.4%, proprietary : 41.1%) than patients of proprietary hospitals.
Uninsured psychiatric patients were far more common at public hospitals than at the other types of facilities (public : 17. (...)
Mots-clés Pascal : Trouble psychiatrique, Soin, Hôpital général, Secteur public, Etude comparative, Secteur privé, Etats Unis, Amérique du Nord, Amérique, Démographie, Statut social, Assurance maladie, Homme
Mots-clés Pascal anglais : Mental disorder, Care, General hospital, Public sector, Comparative study, Private sector, United States, North America, America, Demography, Social status, Health insurance, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0028880
Code Inist : 002B18H05B. Création : 21/05/1997.