Number of long-term inpatients in Japanese psychiatric care beds: trend analysis from the patient survey and the 630 survey.
Number of long-term inpatients in Japanese psychiatric care beds: trend analysis from the patient survey and the 630 survey.
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DOI：
10.1186/s12888-020-02927-z
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发表时间：
2020-11-03
期刊：
影响因子：
4.4
通讯作者：
Yamanouchi Y
中科院分区：
文献类型：
--
作者：
Okayama T;Usuda K;Okazaki E;Yamanouchi Y
在过去的10年里，日本的精神科护理病床的数量和在精神科护理病床上的平均住院时间有所减少。然而，正如这里和其他地方长期以来所指出的那样，日本在去机构化方面落后于其他国家。此外，精神科病床的住院病人人口正在急剧老龄化。除了精神疾病的多样化，对目前的精神科病床资源采取什么措施已经成为一个新的挑战。使用患者调查和630调查的数据，我们研究了到2040年日本精神科护理床位长期住院患者数量的趋势。由于长期住院患者入院和出院的波动较小，因此采用人口估计来估计长期病床需求。2017年，近三分之一的长期住院患者年龄≥75岁，预计到2040年将有47%的患者死亡。因此，由于目前住院的长期住院患者的老龄化，预计长期住院的总体需求将急剧下降。2017年长期住院患者为167579人，预计到2040年将减少到103141人。我们认为有必要采取多方面的措施，促进出院和转介到社区，并解决精神疾病的多样化和精神科护理病床供应/可用性的问题。由于长期住院病人的自然减少，预计这些病床供应/可用性会减少。
The number of psychiatric care beds and the mean length of stay in psychiatric care beds in Japan have decreased over the past 10 years. However, as has long been indicated here and elsewhere, Japan lags behind other countries in terms of deinstitutionalization. Furthermore, the population of inpatients in psychiatric care beds is aging dramatically. In addition to the diversification of mental illness, the question of what measures to implement going forward regarding current psychiatric bed resources has emerged as a new challenge. Using data from the Patient Survey and the 630 Survey, we examined trends in the number of long-term inpatients in psychiatric care beds in Japan through 2040. Population estimation was used for estimating long-term hospital bed demand because of small fluctuations in the admission and discharge of long-term inpatients. In 2017, nearly one-third of all long-term hospitalized patients were aged ≥75 years, and an estimated 47% of the total are expected to die by 2040. Thus, the overall demand for long-term hospitalization is forecast to decrease sharply due to aging of currently hospitalized long-term inpatients. The number of long-term inpatients in 2017 was 167,579, and this is projected to decrease to 103,141 in 2040. We believe it is necessary to adopt a multifaceted approach to promote hospital discharge and transition to the community, and to address the diversification of mental illness and the issue of psychiatric care bed supply/availability, which are forecast to decrease due to the natural decrease in long-term inpatients.
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DOI：
10.3390/ijerph14111367
发表时间：
2017-11-10
影响因子：
--
作者：
Doi S;Ide H;Takeuchi K;Fujita S;Takabayashi K
通讯作者：
Takabayashi K
影响因子：
11.9
作者：
Someya, T;Suzuki, Y;Tang, SW
通讯作者：
Tang, SW
影响因子：
11
作者：
Allison, S.;Bastiampillai, T.;Sharfstein, S. S.
通讯作者：
Sharfstein, S. S.
影响因子：
3.8
作者：
Ito, H;Sederer, LI
通讯作者：
Sederer, LI
影响因子：
4.7
作者：
Okumura Y;Sugiyama N;Noda T;Tachimori H
通讯作者：
Tachimori H