|
KMID : 0897520190240010019
|
|
Journal of Korean Association of Social Psychiatry
2019 Volume.24 No. 1 p.19 ~ p.28
|
|
|
The Change of Hospitalization Type, Length of Hospitalization, Readmission Rates, and Patient Attributes of Psychiatrically Hospitalized Patients Before and After the 2017 Revision of Mental Health Law in Some Mental Hospitals in an Urban Area, Korea
|
|
Lee Sun-Hwan
Hwang Hyun-Kuk
Kang Yu-Pyung
Park Jong-Ik
Choi Jong-Hyuk
Choi Eui-Jung
Lee Jun-Young
|
|
|
Abstract
|
|
|
Objective : The main purpose of this study was to investigate the change of hospitalization type, length of hospitalization, readmission rates, and patient attributes of psychiatrically hospitalized patients before and after the 2017 revision of mental
health law.
Methods : We retrospectively reviewed medical records of 1,396 cases of psychiatrically hospitalized patients who were hospitalized and discharged in a national mental hospital or a private mental hospital from a period spanning from 1 year before to 1 year after the 2017 revision of the Mental Health Law. We used either the t-test, chi square test, or the one-way
analysis of variance to compare characteristics between each group and examined their influence on the 2017 revision of
mental health law.
Results : The rate of voluntary admission markedly increased from 32.8% to 86.7% with no significant change in patient attributes. The length of hospitalization in a mental hospital significantly decreased from 84.9 (±70.8) days to 54.6 (±53.6)
days. Individual factors showing a significant decrease with the length of hospitalization included female sex, schizophrenia, unemployment, and involuntary admission type. However, the readmission rate significantly increased from 15.5% to 21.1%.
Conclusion : The findings of this study suggests that the 2017 revision of mental health law produced favorable results in the length of hospitalization and admission type, but a unfavorable result in the readmission rate. It is necessary to supplement the mental health policies and laws.
|
|
|
KEYWORD
|
|
|
Mental health law, Mental health and welfare, Hospitalization type, Length of hospitalization Readmission rate, Patient attributes, Voluntary admission
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|