[Can case-mix explain differences in involuntary admissions?].

J H Bjørngaard; T Heggestad

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PubMed · 11826779

[Can case-mix explain differences in involuntary admissions?].

J H Bjørngaard·T Heggestad

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Abstract

BACKGROUND: The proportion of patients admitted involuntarily varies considerably among Norwegian psychiatric hospitals. We tested the hypothesis that these variations are the result of differences in case-mix. MATERIAL AND METHODS: The observed differences in involuntary admissions to Norwegian psychiatric hospitals were compared to those expected on the basis of their case-mix, as predicted by our multivariate model (multinomial logistic regression). The material was based on a cross-sectional registration of hospitalized patients in Norwegian psychiatric hospitals as of 1 November 1999. Thirty-two hospitals (all Norwegian hospitals that take involuntary admissions) supplied data on a total of 1,500 patients. RESULTS: The analysis shows that a large amount of the observed variation in involuntary admissions is related to differences in case-mix. However, for patients involuntarily admitted for observation, the case-mix was found to have less explanatory effect. Age, sex, previous admissions and diagnoses were used to operationalize hospital case-mix. INTERPRETATION: The analysis also indicated that other explanatory factors should be explored, such as differences in admission threshold and in medical decision in explaining variation in involuntary psychiatric admissions.

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Adolescent Adult Commitment of Persons with Psychiatric Disorders Cross-Sectional Studies Decision Making Diagnosis-Related Groups Humans Mental Disorders Middle Aged Models, Statistical Multivariate Analysis Norway Patient Readmission Comparative Study English Abstract Journal Article

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J H Bjørngaard, T Heggestad. 2001-11-30. [Can case-mix explain differences in involuntary admissions?].. https://pubmed.ncbi.nlm.nih.gov/11826779/

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