Influence of patient characteristics on care time in patients hospitalized with schizophrenia

Yukiko Sugibayashi,1 Kimio Yoshimura,1 Keita Yamauchi,1,2 Ataru Inagaki,3 Naoki Ikegami1 1Department of Health Policy and Management, Keio University School of Medicine, Tokyo, 2Keio University Graduate School of Health Management, Kanagawa, 3Aoyama Gakuin University, School of International Polit...

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Autores principales:	Sugibayashi Y, Yoshimura K, Yamauchi K, Inagaki A, Ikegami N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/68024c3895694a6e80e2c00c674148b9
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spelling	oai:doaj.org-article:68024c3895694a6e80e2c00c674148b92021-12-02T06:24:14ZInfluence of patient characteristics on care time in patients hospitalized with schizophrenia1178-2021https://doaj.org/article/68024c3895694a6e80e2c00c674148b92014-08-01T00:00:00Zhttp://www.dovepress.com/influence-of-patient-characteristics-on-care-time-in-patients-hospital-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Yukiko Sugibayashi,1 Kimio Yoshimura,1 Keita Yamauchi,1,2 Ataru Inagaki,3 Naoki Ikegami1 1Department of Health Policy and Management, Keio University School of Medicine, Tokyo, 2Keio University Graduate School of Health Management, Kanagawa, 3Aoyama Gakuin University, School of International Politics, Economics and Communication, Tokyo, Japan Background: In the current Japanese payment system for the treatment of psychiatric inpatients, the length of hospital stay and nurse staffing levels are key determinants of the amount of payment. These factors do not fully reflect the costs of care for each patient. The objective of this study was to clarify the relationship between patient characteristics and their care costs as measured by “care time” for patients with schizophrenia.Methods: Patient characteristics and care time were investigated in 14,557 inpatients in 102 psychiatric hospitals in Japan. Of these 14,557 inpatients, data for 8,379 with schizophrenia were analyzed using a tree-based model.Results: The factor exerting the greatest influence on care time was ”length of stay”, so subjects were divided into 2 groups, a “short stay group” with length of stay ≦104 days, and “long stay group” ≧105 days. Each group was further subdivided according to dependence with regard to “activities of daily living”, “psychomotor agitation”, “verbal abuse”, and “frequent demands/repetitive complaints”, which were critical variables affecting care time. The mean care time was shorter in the long-stay group; however, in some long-stay patients, the mean care time was considerably longer than that in patients in the short-stay group.Conclusion: The results of this study suggest that it is necessary to construct a new payment system reflecting not only length of stay and nurse staffing levels, but also individual patient characteristics. Keywords: psychiatric hospital, schizophrenia, care time, case mix, tree-based modelSugibayashi YYoshimura KYamauchi KInagaki AIkegami NDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2014, Iss default, Pp 1577-1584 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Sugibayashi Y Yoshimura K Yamauchi K Inagaki A Ikegami N Influence of patient characteristics on care time in patients hospitalized with schizophrenia
description	Yukiko Sugibayashi,1 Kimio Yoshimura,1 Keita Yamauchi,1,2 Ataru Inagaki,3 Naoki Ikegami1 1Department of Health Policy and Management, Keio University School of Medicine, Tokyo, 2Keio University Graduate School of Health Management, Kanagawa, 3Aoyama Gakuin University, School of International Politics, Economics and Communication, Tokyo, Japan Background: In the current Japanese payment system for the treatment of psychiatric inpatients, the length of hospital stay and nurse staffing levels are key determinants of the amount of payment. These factors do not fully reflect the costs of care for each patient. The objective of this study was to clarify the relationship between patient characteristics and their care costs as measured by “care time” for patients with schizophrenia.Methods: Patient characteristics and care time were investigated in 14,557 inpatients in 102 psychiatric hospitals in Japan. Of these 14,557 inpatients, data for 8,379 with schizophrenia were analyzed using a tree-based model.Results: The factor exerting the greatest influence on care time was ”length of stay”, so subjects were divided into 2 groups, a “short stay group” with length of stay ≦104 days, and “long stay group” ≧105 days. Each group was further subdivided according to dependence with regard to “activities of daily living”, “psychomotor agitation”, “verbal abuse”, and “frequent demands/repetitive complaints”, which were critical variables affecting care time. The mean care time was shorter in the long-stay group; however, in some long-stay patients, the mean care time was considerably longer than that in patients in the short-stay group.Conclusion: The results of this study suggest that it is necessary to construct a new payment system reflecting not only length of stay and nurse staffing levels, but also individual patient characteristics. Keywords: psychiatric hospital, schizophrenia, care time, case mix, tree-based model
format	article
author	Sugibayashi Y Yoshimura K Yamauchi K Inagaki A Ikegami N
author_facet	Sugibayashi Y Yoshimura K Yamauchi K Inagaki A Ikegami N
author_sort	Sugibayashi Y
title	Influence of patient characteristics on care time in patients hospitalized with schizophrenia
title_short	Influence of patient characteristics on care time in patients hospitalized with schizophrenia
title_full	Influence of patient characteristics on care time in patients hospitalized with schizophrenia
title_fullStr	Influence of patient characteristics on care time in patients hospitalized with schizophrenia
title_full_unstemmed	Influence of patient characteristics on care time in patients hospitalized with schizophrenia
title_sort	influence of patient characteristics on care time in patients hospitalized with schizophrenia
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/68024c3895694a6e80e2c00c674148b9
work_keys_str_mv	AT sugibayashiy influenceofpatientcharacteristicsoncaretimeinpatientshospitalizedwithschizophrenia AT yoshimurak influenceofpatientcharacteristicsoncaretimeinpatientshospitalizedwithschizophrenia AT yamauchik influenceofpatientcharacteristicsoncaretimeinpatientshospitalizedwithschizophrenia AT inagakia influenceofpatientcharacteristicsoncaretimeinpatientshospitalizedwithschizophrenia AT ikegamin influenceofpatientcharacteristicsoncaretimeinpatientshospitalizedwithschizophrenia
_version_	1718399936880443392

Influence of patient characteristics on care time in patients hospitalized with schizophrenia

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