Assessment of Psychiatric Outcomes in Japan Based on Diagnostic Procedure Combination Information

Abe, Takeru; Ikeda, Koji; Kuroda, Kenji; Hagihara, Akihito

doi:10.1007/s11126-010-9158-7

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…Some factors associated with prolonged LOS are consistent with clinical expectations and were previously reported as predictors of LOS, such as lower GAF score, involuntary commitment, and older age . The results also support the idea that several older F20–F29 patients could be chronic and refractory psychotic patients who have fewer social skills and residual symptoms, resulting in prolonged LOS.…”

Section: Discussionsupporting

confidence: 89%

Factors affecting prolonged length of stay in psychiatric patients in Japan: A retrospective observational study

Shinjo

Tachimori

Sakurai

et al. 2017

Psychiatry Clin Neurosci

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Not only clinical factors but also institutional characteristics were associated with prolonged LOS. Our study provided useful information for improvement in psychiatric services and indicated the need to consider the division of roles between healthcare/welfare institutions and psychiatric-related resource allocation. Interventions should be considered for achieving shorter LOS for psychiatric patients.

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Section: Discussionsupporting

confidence: 89%

Factors affecting prolonged length of stay in psychiatric patients in Japan: A retrospective observational study

Shinjo

Tachimori

Sakurai

et al. 2017

Psychiatry Clin Neurosci

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“…The GAF will be used to measure the psychosocial functioning level among cases. 24 A higher score indicates a better functioning level. GAF is measured at least one point in time during the study period.…”

Section: Methods and Analysismentioning

confidence: 99%

Patient-controlled hospital admission for patients with severe mental disorders: study protocol for a nationwide prospective multicentre study

et al. 2016

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IntroductionPatient-controlled hospital admission for individuals with severe mental disorders is a novel approach in mental healthcare. Patients can admit themselves to a hospital unit for a short stay without being assessed by a psychiatrist or contacting the emergency department. Previous studies assessing the outcomes of patient-controlled hospital admission found trends towards reduction in the use of coercive measures and length of hospital stay; however, these studies have methodological shortcomings and small sample sizes. Larger studies are needed to estimate the effect of patient-controlled hospital admission on the use of coercion and of healthcare services.Design and methodsWe aim to recruit at least 315 patients who are offered a contract for patient-controlled hospital admissions in eight different hospitals in Denmark. Patients will be followed-up for at least 1 year to compare the use of coercive measures and of healthcare services, the use of medications and suicidal behaviour. Descriptive statistics will be used to investigate hospitalisations, global assessment of functioning (GAF) and patient satisfaction with treatment. To minimise selection bias, we will match individuals using patient-controlled hospital admission and controls with a 1:5 ratio via a propensity score based on the following factors: sex, age group, primary diagnosis, substance abuse as secondary diagnosis, coercion, number of psychiatric bed days, psychiatric history, urbanity and suicidal behaviour. Additionally, a historical control study will be undertaken in which patients serve as their own control group prior to index date.Ethics and disseminationThe study has been approved by The Danish Health and Medicines Authority (j.nr.: 3-3013-934/1/) and by The Danish Data Protection Agency (j.nr.: 2012-58-0004). The study was categorised as a register study by The Danish Health Research Ethics Committee and therefore no further approval was needed (j.nr.: H-2-2014-FSP70). Findings will be disseminated through scientific publications, presentations and in a PhD thesis.

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Psychiatrist Characteristics Related to Patient Outcome in Japan

et al. 2011

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We evaluated psychiatric care in terms of the relationship between patient outcome (length of stay, Global Assessment of Functioning (GAF) at discharge, GAF difference, and GAF change per day) and psychiatrist characteristics (gender and years in psychiatric practice) in patients with schizophrenia, schizotypal, or delusional disorders (ICD-10 codes F20-F29) and in those with mood disorders (ICD-10 codes F30-F39). The sample consisted of inpatients discharged from an institute in Japan between April 2007 and March 2008. Multivariate analyses were performed to identify patient and psychiatrist characteristics related to outcome. We found that psychiatrist characteristics, such as gender and years in practice, were associated with GAF-related outcomes in patients in the F20-F29 and F30-F39 code groups (P < 0.05, P < 0.001, respectively). Patient characteristics and clinical factors such as GAF at admission, ward type, arrival by ambulance, admission type, seclusion, restraint, diagnosis, and patient age, were associated with outcome in both diagnostic groups. These findings show that gender and years in psychiatric practice had a significant effect on psychiatric patient outcome. Further studies in multiple institutes using a follow-up design are necessary to verify these findings.

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Assessment of Psychiatric Outcomes in Japan Based on Diagnostic Procedure Combination Information

Cited by 4 publications

References 21 publications

Factors affecting prolonged length of stay in psychiatric patients in Japan: A retrospective observational study

Factors affecting prolonged length of stay in psychiatric patients in Japan: A retrospective observational study

Patient-controlled hospital admission for patients with severe mental disorders: study protocol for a nationwide prospective multicentre study

Psychiatrist Characteristics Related to Patient Outcome in Japan

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