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KMID : 0897520200250020071
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Journal of Korean Association of Social Psychiatry
2020 Volume.25 No. 2 p.71 ~ p.78
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The Comparison of Characteristics, Rate and Types of Admission Continuation, and Rate of Readmission in Psychiatric Emergency Hospitalization Patients Before and After the Revision of Mental Health Promotion and Welfare Act
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Shin Su-Jin
Koh Sang-Hyun
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Abstract
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Objectives : The research was conducted to compare the characteristics, rate and types of admission continuation, and rate of readmission in psychiatric emergency hospitalization patients before and after the revision of Mental Health Promotion and Welfare Act.
Methods : The medical records of the 445 patients who underwent psychiatric emergency hospitalization at Seoul Metropolitan City Eunpyeong Hospital in 2016 and 2018 were reviewed retrospectively. The clinical and sociodemograhpic characteristics, rate and types of admission continuation, and rate of readmission were compared between 224 patients who admitted in 2016 and 221 patients who admitted in 2018. To compare the characteristics of the two groups, t-test and chi-square test were performed.
Results : There is no difference in clinical and sociodemographic characteristics between 2016 and 2018 group. There was no difference in the rate of admission continuation before and after the revision of act, while the rate significantly decreased from 61.9% to 50.0% when patients with substance use disorder were excluded from overall group. Among those who maintained hospitalization, the proportion of voluntary admission increased from 5.5% to 13.1%. The rate of readmission after discharge from the emergency hospitalization within 1 and 3 month period increased after the revision of the act.
Conclusion : This study showed that the proportion of voluntary admission increased in admission continuation, and this change is in accordance with the purpose of the revision of the Mental Health Promotion and Welfare Act. On the other hand, the rate of admission continuation decreased in a subgroup of patients, and the readmission rate after discharge from the emergency hospitalization increased. Current findings suggest that the Mental Health Promotion and Welfare Act needs further complementation and improvement.
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KEYWORD
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Psychiatric emergency hospitalization, Mental Health Promotion and Welfare Act, Admission continuation rate, Admission type, Readmission rate
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