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  1. The effect of a new integrated mental health service on hospitalisation.

    Article - En anglais

    Objective 

    The purpose of the present study was to partially evaluate a new integrated mental health service by monitoring inpatient lengths of stay.

    We hypothesised that the median cumulated length of stay for inpatients would decrease, and that the frequency of readmissions would not increase.

    Method 

    Data was collected for two 6-month periods before and after the introduction of an integrated mental health service (IMHS).

    Two functionally identical wards (G and E) were studied.

    Ward G was then integrated with the regional community psychiatry service, while Ward E remained non-integrated.

    Results 

    Following integration, the median cumulative length of stay in the IMHS's Ward G was more than halved in comparison with both its own baseline and with the non-integrated ward.

    The average length of stay of overdose patients at the regional general hospital that was serviced by the IMHS was also reduced from 2.6 days to 1.5 days.

    The non-IMHS ward had a non-significant increase in admissions and no change in cumulative length of stay.

    Conclusion 

    The hypotheses of this study were supported by the results.

    Twelve beds were subsequently closed as a result of the efficiencies generated by integration.

    These findings support the model of true integration trialled here.

    Mots-clés Pascal : Service santé, Santé mentale, Hospitalisation, Durée, Organisation santé, Australie, Océanie, Homme

    Mots-clés Pascal anglais : Health service, Mental health, Hospitalization, Duration, Public health organization, Australia, Oceania, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0445791

    Code Inist : 002B18H05B. Création : 03/02/1998.



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