A two-part demand model based on data from a psychiatric case registry was estimated in order to search for predictors of hospital-based psychiatric care utilization.
Using only age as an independent variable, explanation of future resource utilization is considerably weaker than when number of cumulative days of psychiatric hospital-based service use during the previous five years is also included.
Only a small marginal gain is achieved by also adding diagnoses.
Prospective remuneration by capitating sick funds according to age and past hospital-based service utilization records is recommended to avoid the twin pitfalls of cream-skimming and a distorted allocation of resources for psychiatric services.
Mots-clés Pascal : Utilisation, Service santé, Santé mentale, Hôpital, Hôpital jour, Allocation ressource, Système santé, Age, Hospitalisation, Israël, Asie
Mots-clés Pascal anglais : Use, Health service, Mental health, Hospital, Day hospital, Resource allocation, Health system, Age, Hospitalization, Israel, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0239700
Code Inist : 002B30A01B. Création : 11/06/1997.