精神分裂病患者の退院を疎外するリスク要因の分析--1私立精神病院における在院患者の3年後の追跡調査より

概要

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We have already reported the results of an in-patient survey which had been carried out at a private mental hospital, examining demographic, clinical, and institutional factors. The patients have now been followed for a further 3 years and the factors contibuting to their discharge have been analysed. At follow-up, 231 subjects are still in the hospital whereas 76 are living in the community. The in-patient ratio (in-patient/out-patinet) between the two groups has been calculated and analysed by calculating the crude Odds ratio and the multiple logistic model, based on the variables rated at the first stage of the survey itself, contributed to the in-patient ratio; the adjusted Odds ratio is 2.14. The Global Severity Rating (GSR) which is the second highest, is 1.58. This finding confirms quantitatively the discussion that longterm hospitalization itself makes discharge more difficult. Based on these findings, we comment on some issues which have to be confronted in deinstituonalizing mental hospitals in Japan.
日本民族衛生学会の論文