General hospital psychiatry in India: History, scope, and future

Chadda, Rakesh Kumar; Sood, Mamta

doi:10.4103/psychiatry.indianjpsychiatry_435_17

Cited by 18 publications

(7 citation statements)

References 9 publications

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“…In addition, there were no increasing or decreasing trends observed among inpatient admissions when compared with overall hospital statistics (bed strength has remained 30 throughout); this reflects that resources allocated for mental health facilities are inadequate. [ 1 2 ]…”

Section: Discussionmentioning

confidence: 99%

“…General hospital psychiatry units (GHPUs) have open ward facilities and caters in many ways including clinical care of especially poor patients, undergraduate and postgraduate training, community services, and research. [ 2 ] Despite the important role, there is little research regarding inpatient utilization which is necessary for understanding the allocation of resources. A study from a GHPU in Imphal, in the northeastern part of India, revealed that over 2 years – around 420 patients were admitted per year, with the most common diagnoses being alcohol dependence in men and dissociative disorders in women, followed by psychotic and mood disorders.…”

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confidence: 99%

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The pattern of inpatient psychiatry admissions at a general hospital psychiatry unit in South India

Nagarajan¹,

Rajkumar²,

Harichandrakumar³

et al. 2022

Industrial Psychiatry Journal

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Background: Mental illnesses are becoming a major health issue across the world. The availability of inpatient facilities for mentally ill patients is very much limited in developing countries such as India. Aim: This study was aimed to explore the pattern of psychiatric admissions at a general hospital psychiatry unit (GHPU) in South India. Methodology: The study was conducted at a multispecialty tertiary care hospital in South India. A retrospective, chart-based study design was adopted to achieve the objectives. All inpatient case records available from the department of psychiatry, the medical records department, and the electronic hospital information system of the institute were reviewed between April 2006 and March 2016. Results: A total of 3082 patients were admitted as psychiatry inpatients during the 10-year study period, representing an average of 308.2 admissions per calendar year. The majority of inpatients were male ( n = 1824; 59.2%). Concerning diagnostic categories, mood disorders were accounted for 33.6% of admissions, followed by psychotic disorders (26.4%) and substance use disorders (19.3%), respectively. The median length of hospital stay was 14 days (range 0–163 days). A statistically significant seasonality pattern was noticed for mood disorders (December to February) and anxiety and neurotic disorders (August to October). Conclusion: It is obvious that treatment-seeking attitude among individuals with mental illnesses is increasing and the awareness regarding treatment aspects is also increasing among the general public. Hence, there is a need to improve the existing resources to facilitate intensive management for better treatment outcomes and this, in turn, will enhance the quality of life of mentally ill individuals.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The pattern of inpatient psychiatry admissions at a general hospital psychiatry unit in South India

Nagarajan¹,

Rajkumar²,

Harichandrakumar³

et al. 2022

Industrial Psychiatry Journal

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“…It is predicted that future hospitals would be more involved in research fields, and their scope of activities will be expanded, and clinics and offices providing clinical and surgical services will operate more independently. [ 6 13 14 17 18 19 ] Furthermore, the evaluation system of future hospitals will be different from now, and evaluations will be performed by private organizations, and the hospital environment will be more competitive, causing hospitals to take important steps toward the quality and effectiveness of health services. [ 13 14 19 20 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 13 ] They also try to focus on education and awareness of the public and patients, have the necessary training for them, and involve people in health issues as much as possible. [ 17 18 ]…”

Section: Discussionmentioning

confidence: 99%

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The roles and functions of future hospitals in health promotion

Rouhifard

Vosoogh-Moghaddam

Moshiri

2022

Journal of Education and Health Promotion

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As a main pillar of the health and social welfare system, hospitals affect the public health status in two ways: (1) Prevention, treatment, and rehabilitation services and (2) external effects on society and the environment. The present study aimed to identify the roles and functions of future hospitals in the world. The present study was a systematic review in which all studies about the roles and functions of future hospitals in different countries with a time limit of 2000 to August 2021 were extracted from foreign databases, including PubMed, Cochrane, Scopus, and Web of Science, and search engine, Google Scholar, as well as Persian databases, including Magiran, SID, and Iran Medex. We utilized the STROBE checklists for quantitative studies and SRQR checklists for qualitative studies to critique and evaluate the quality of qualitative studies. We then extracted their results and classified the content according to the main and subtopics. A total of 16 articles met the inclusion criteria of the present study. Hospitals can play four roles: stand-alone, dominant, collaborative, and partner. Findings were classified into six general groups: the role and mission of future hospitals, the way of providing care, funding, staff and patients, technology and information of future hospitals, and the challenges and barriers of current hospitals. Health service policy-makers need to pay special attention to technological innovations and advances as well as changes in the roles and functions of hospitals and seek to turn the threats arising from external changes into opportunities for better hospital performances.

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