The relationship between supply and hospitalization rates for mental illness and substance use disorders
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This study investigated the extent to which mental illness and substance use hospitalization rates were related to the supply of psychiatric treatment services. Supply variables, notably the per capita rate of psychiatrists, primary care physicians, and specialty units, were strongly related to mental illness and substance use hospitalization rates to acute care hospitals across 114 small geographic areas in Iowa. The supply of outpatient services was not related to hospitalization rates. The need to study the reliability of patient assessment processes, refine guidelines and admissions criteria, and understand the contributions of supply variables to hospitalization rates are indicated by these results. A conceptual model is offered within which the dynamic cycle from patient functioning to service delivery may be framed.
KeywordsMental Illness Primary Care Physician Hospitalization Rate Acute Care Hospital Community Mental Health Center
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- 2.Small Area Analysis and Variation in Hospital Utilization and Charges, 1989–1991. State of Iowa. Lebanon, NH: The Codman Research Group, 1993.Google Scholar
- 11.Welch BL: Health care reformers: Bite the political bullet.APA Monitor, 1993 (March), p. 24.Google Scholar
- 12.Manderscheid RW, Sonnenschein MA (Eds.).Mental Health, United States. DHHS Pub. No. (SMA) 92-1942. Washington, DC: Superintendent of Documents, U.S. Government Printing Office, 1992.Google Scholar
- 15.National Institute on Drug Abuse:National Directory of Drug Abuse and Alcoholism Treatment and Prevention Programs. 1990 Survey. DHHS Pub. No. (ADM) 91-1809. Rockville MD: U.S. Department of Health and Human Services, 1991.Google Scholar
- 16.AHA Guide to the Health Care Field. Chicago: American Hospital Association, 1991.Google Scholar
- 18.Kiesler CA, Sibulkin AE:Mental Hospitalization: Myths and Facts about a National Crisis. Newbury Park, CA: Sage, 1987.Google Scholar
- 22.Patient Placement Criteria for the Treatment of Psychoactive Substance Use Disorders. Washington, DC: American Society of Addiction Medicine, 1991.Google Scholar