The Development of Psychiatric Services Providing an Alternative to Full-Time Hospitalization Is Associated with Shorter Length of Stay in French Public Psychiatry

Abstract : International recommendations for mental health care have advocated for a reduction in the length of stay (LOS) in full-time hospitalization and the development of alternatives to full-time hospitalizations (AFTH) could facilitate alignment with those recommendations. Our objective was therefore to assess whether the development of AFTH in French psychiatric sectors was associated with a reduction in the LOS in full-time hospitalization. Using data from the French national discharge database of psychiatric care, we computed the LOS of patients admitted for full-time hospitalization. The level of development of AFTH was estimated by the share of human resources allocated to those alternatives in the hospital enrolling the staff of each sector. Multi-level modelling was carried out to adjust the analysis on other factors potentially associated with the LOS (patients', psychiatric sectors' and environmental characteristics). We observed considerable variations in the LOS between sectors. Although the majority of these variations resulted from patients' characteristics, a significant negative association was found between the LOS and the development of AFTH, after adjusting for other factors. Our results provide first evidence of the impact of the development of AFTH on mental health care and will provide a lever for policy makers to further develop these alternatives.
Type de document :
Article dans une revue
International Journal of Environmental Research and Public Health, MDPI, 2017, 14 (3), pp.325. 〈10.3390/ijerph14030325〉
Liste complète des métadonnées

Littérature citée [69 références]  Voir  Masquer  Télécharger

http://www.hal.inserm.fr/inserm-01497541
Contributeur : Coralie Gandré <>
Soumis le : mardi 28 mars 2017 - 17:37:10
Dernière modification le : vendredi 22 décembre 2017 - 09:44:02

Fichier

ijerph-14-00325.pdf
Publication financée par une institution

Identifiants

Collections

Citation

Coralie Gandré, Jeanne Gervaix, Julien Thillard, Jean-Marc Macé, Jean-Luc Roelandt, et al.. The Development of Psychiatric Services Providing an Alternative to Full-Time Hospitalization Is Associated with Shorter Length of Stay in French Public Psychiatry. International Journal of Environmental Research and Public Health, MDPI, 2017, 14 (3), pp.325. 〈10.3390/ijerph14030325〉. 〈inserm-01497541〉

Partager

Métriques

Consultations de la notice

240

Téléchargements de fichiers

85