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KMID : 0371620080230020107
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Journal of Wonkwang Medical Science
2008 Volume.23 No. 2 p.107 ~ p.116
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The Variables Affecting the Judgment for Continuing Hospitalization in Patients with Mentally Ⅲ
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Lee San-Soo
O So-Young
Park Min-Cheol
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Abstract
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The number of applications for judgment of continuing hospitalization by the Mental Health Act is increasing every year. Thus, the present study surveyed the current state of continuing hospitalization disapproval by the Mental Health Judgment Board of an area, and factors affecting the disapproval based on items recorded in the application for the judgment of continuing hospitalization. During the 5 years’ period from January 2002 to December 2006, there were a total of 14,782 applications for judgment of continuing hospitalization to the Mental Health Judgment Board. Among them, 1,832were disapproved, showing a disapproval rate of around 12.4%. As to disapproval rate related to each factor, according to facility, the disapproval rate was 10.6% for patients at mental hospitals and 14.6% for those at nursing homes for mental patients. According to medical security type, it was 10.5% for medical insurance patients and 12.9% for medical aid patients. These differences were all statistically significant. According to diagnosis, the disapproval rate was 27.9% for alcoholism, 17.1% for others, 16.4% for mental retardation, 12.5% for mood disorder, 11.5% for schizophrenia, and 8.6% for organic mental disorder, and the differences were statistically significant. According to the number of applications for judgment of continuing hospitalization and diagnosis, the disapproval rate was higher when the number of applications was 3~6 among patients with mood disorder, mental retardation, or others. According to the number of applications for review and facility, the disapproval rate was higher when number of applications was 4 or more among mental hospital patients, and when it was 6 or more among nursing home patients. The factors most influential on the judgment of continuing hospitalization were facility, the number of applications for review, and diagnosis, and the disapproval rate was high among mental hospital patients, alcoholics, those with medical insurance, and those with low risk of self-injury and injury by others and good orientation.
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KEYWORD
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Judgment of continuing hospitalization, Dissent rate, Mental health judgment board
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