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KMID : 0897520100150020085
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Journal of Korean Association of Social Psychiatry
2010 Volume.15 No. 2 p.85 ~ p.93
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Yearly National Statistics of Psychiatric Inpatients and Length of Stay According to Type of Mental Health Facilities in 2002~2007
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Choi Jae-Won
Lee Jung-Sun
Park Su-Bin
Jang Hong-Suk
Kim Kun-Woo
Hong Jin-Pyo
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Abstract
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Background：The number of psychiatric patients in South Korea is rising steadily, causing the number of psychiatric facilities and inpatient beds to rise along with it, and the socioeconomic burden also. This trend has caused a number of mental institutions to increase the proportion of long-term hospitalizations, and re-admit recently discharged patients for economical profit. Through this study, we aim to calculate the yearly national statistics of psychiatric inpatients, including the number of long-term mental hospitalizations, and look into economic-related statistics, such as bed occupancy rate, turnover ratio and average length-of-stay, according to the type of mental health facility.
Methods： We analyzed the National Health Insurance and Medical Care payment data of patients hospitalized for psychiatric diagnoses from 2002 to 2007. Then, a number of facilities from each type of mental facility were sampled, and the yearly number of patients hospitalized in mental institutions, the total length-of-stay for all psychiatric inpatients, and the daily average number of psychiatric inpatients was investigated to calculate the average number of patients according to type of mental institution, bed occupancy rate, turnover ratio, and average length-of-stay.
Results： The number of patients hospitalized for mental disorders nationwide increased steadily from 158,895 patients in 2002 to 251,026 patients in 2007 (overall increase：58%). The average bed occupancy rate was lowest in national mental hospitals(***) and highest in university hospitals (120%). The turnover ratio of university hospitals was almost 10 times that of other facilities. The average length-of-stay according to type of mental institution in order from longest to shortest was as follows; Affiliated public mental hospital, private mental hospitals, national mental hospitals, private clinics, public mental hospital, and university hospitals.
Conclusion： There were several notable differences in the number of long-term hospitalizations according to mental facility type. Changes will need to be made in payment methods and admission regulations to control the increase in long-term hospitalizations.
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KEYWORD
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Epidemiology, Length-of-stay, Mental health facilities
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