关键词: assuring transformation hospital admission learning disabilities neurodevelopmental disorders transforming care

Mesh : Humans Inpatients Intellectual Disability Patient Discharge Mental Disorders / epidemiology therapy Time Factors Hospitalization

来  源:   DOI:10.1111/jar.13051

Abstract:
BACKGROUND: We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce.
METHODS: Using linear regression, with auto-regressive errors, we examined relationships between variables over time using data from December 2013 to March 2021.
RESULTS: Over time, the number of inpatients reduced by either 6.58 or 8.07 per month depending upon the dataset utilised, and the number of community nurses and community nursing support staff reduced by 7.43 and 2.14 nurses per month, respectively. Increasing numbers of consultant psychiatrists were associated with fewer inpatients over time. More care and treatment reviews (CTRs) were associated with more admissions over time, while more post-admission CTRs were associated with increased discharges over time.
CONCLUSIONS: Future studies should examine whether psychiatric bed utilisation elsewhere within the NHS by people with intellectual disabilities has increased.
摘要:
背景:我们使用有关英国精神病院使用率和NHS劳动力的公开数据,检查了一系列变量是否与精神病住院患者的数量相关。
方法:使用线性回归,带有自动回归误差,我们使用2013年12月至2021年3月的数据检验了变量之间随时间变化的关系.
结果:随着时间的推移,住院患者数量每月减少6.58或8.07,具体取决于所使用的数据集,而社区护士及社区护理支援人员的人数则每月减少7.43及2.14名护士,分别。随着时间的推移,越来越多的顾问精神科医生与更少的住院病人相关。随着时间的推移,更多的护理和治疗评论(CTR)与更多的入院相关,而随着时间的推移,更多的入院后CTR与出院增加相关.
结论:未来的研究应该检查智障人士在NHS其他地方使用精神病床的情况是否有所增加。
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