[Heavy users of psychiatric care]
- PMID: 12378413
- DOI: 10.1055/s-2002-34658
[Heavy users of psychiatric care]
Abstract
Objective: This paper reviews findings and problems of heavy users research.
Methods: The German- and English language literature about "heavy users" and relevant border areas was analyzed.
Results: Heavy users are patients who consume a disproportionate share of medical services. The characteristics of heavy users are inhomogeneous. Social problems, denial of illness, non-compliance, comorbid personality disorders and substance misuse contribute significantly to heavy use. Future studies should define heavy use illness-related. More research is needed to clarify whether heavy use of special services is adequate to the patients situation.
Conclusions: Heavy users should be identified early, in order to offer them alternative services, which better fulfil the patients specific conditions and prevent an inadequate heavy use of expensive services.
Similar articles
-
A review of studies of heavy users of psychiatric services.Psychiatr Serv. 1995 Dec;46(12):1247-53. doi: 10.1176/ps.46.12.1247. Psychiatr Serv. 1995. PMID: 8590109 Review.
-
[Heavy users: mysterious research].Psychiatr Prax. 2002 Oct;29(7):331-3. doi: 10.1055/s-2002-34663. Psychiatr Prax. 2002. PMID: 12378412 German. No abstract available.
-
[Heavy users of inpatient psychiatric services].Psychiatr Prax. 2002 Oct;29(7):343-9. doi: 10.1055/s-2002-34657. Psychiatr Prax. 2002. PMID: 12378414 German.
-
[Heavy use of psychiatric hospitals and the use of outpatient services in Switzerland].Psychiatr Prax. 2012 Oct;39(7):332-8. doi: 10.1055/s-0032-1305231. Epub 2012 Oct 8. Psychiatr Prax. 2012. PMID: 23044847 German.
-
Statistical procedures for analyzing mental health services data.Psychiatry Res. 2008 Aug 15;160(2):129-36. doi: 10.1016/j.psychres.2007.07.003. Epub 2008 Jun 30. Psychiatry Res. 2008. PMID: 18585790 Review.
Cited by
-
Three year course and outcome of mental illness in homeless men: a prospective longitudinal study based on a representative sample.Eur Arch Psychiatry Clin Neurosci. 2005 Apr;255(2):111-20. doi: 10.1007/s00406-004-0543-9. Epub 2004 Nov 12. Eur Arch Psychiatry Clin Neurosci. 2005. PMID: 15812605
-
Factors contributing to frequent use of psychiatric inpatient services by schizophrenia patients.Soc Psychiatry Psychiatr Epidemiol. 2004 Sep;39(9):744-51. doi: 10.1007/s00127-004-0807-8. Soc Psychiatry Psychiatr Epidemiol. 2004. PMID: 15672296
-
What makes community psychiatric nurses label non-psychotic chronic patients as 'difficult': patient, professional, treatment and social variables.Soc Psychiatry Psychiatr Epidemiol. 2011 Oct;46(10):1045-53. doi: 10.1007/s00127-010-0264-5. Epub 2010 Jul 3. Soc Psychiatry Psychiatr Epidemiol. 2011. PMID: 20602084 Free PMC article.
-
Exploring correlates of high psychiatric inpatient utilization in Switzerland: a descriptive and machine learning analysis.BMC Psychiatry. 2024 Dec 23;24(1):942. doi: 10.1186/s12888-024-06388-6. BMC Psychiatry. 2024. PMID: 39716097 Free PMC article.
-
The Use of the Health of the Nation Outcome Scales for Assessing Functional Change in Treatment Outcome Monitoring of Patients with Chronic Schizophrenia.Front Public Health. 2016 Oct 13;4:220. doi: 10.3389/fpubh.2016.00220. eCollection 2016. Front Public Health. 2016. PMID: 27790607 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical