Abstract
Changes in inpatient treatment in short-term, non-federal, general hospitals from 1980 to 1985 are investigated. Using the Hospital Discharge Survey, the authors found total episodes in psychiatric units decreased, but became more homogeneous by concentrating on the treatment of schizophrenia and affective disorders. Specialty hospitals decreased treatment of mental disorders, but increased treatment of chemical dependency. A shift towards treatment in hospitals with no formal specialty units was observed. However, the increase was more than accounted for by hospitals with organized psychiatric services, although not a formal unit meeting AHA standards. The influence of external factors, such as Medicare's Prospective Payment System, is discussed.
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Kiesler, C.A., Simpkins, C.G. Changes in site of inpatient psychiatric care in general hospitals, 1980–1985. Adm Policy Ment Health 19, 389–398 (1992). https://doi.org/10.1007/BF00707495
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DOI: https://doi.org/10.1007/BF00707495