Psychiatric Severity of Illness
A Case Mix Study
Bibliographic Data
| ID | 9101116 |
|---|---|
| Authors | Susan D Horn (0000-0003-0199-4513, Johns Hopkins University, corresponding author), Angela F Chambers (Washington University Medical Center), Phoebe D Sharkey (0000-0001-9259-7286, Decision Sciences (United States)), Roger A Horn (0000-0003-1307-2938, Johns Hopkins University) |
| Year | 1989 |
| Volume | 27 |
| Issue | 1 |
| Pages | 69-84 |
| Publication date | 1989-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198901000-00007 |
| PMID | 2911220 |
| OpenAlex | W2073106474 |
| Language | EN |
| Citations received | 7 |
| References cited | 3 |
This study was undertaken to determine if a measure of severity of illness for psychiatric patients, the Psychiatric Severity of Illness Index, could produce psychiatric case mix groups that are more homogeneous with respect to resource use than the diagnosis-related groups (DRGs). Psychiatric Severity of Illness data were collected on 1,672 cases in ten hospitals of various types. Of these cases, 1,418 had enough information in the medical record to be scored using the Psychiatric Severity Index, 1,173 of which were in MDC 19 (mental diseases and disorders). We found that four Psychiatric Severity of Illness groups explained between 34% and 50% of the variation in length of stay of the combined hospital data in MDC 19, whereas nine DRGs explained between 6% and 14%. DRGs subdivided by Psychiatric Severity of Illness groups explained between 40% and 54% of the variation in length of stay. The implications of these results for cross-hospital comparisons are discussed
Homogeneous · Illness behavior · Illness severity · Medical illness · Mental health · Mental illness · Psychiatric hospital · Psychiatry · Severity of illness · Chronic Disease Management Strategies · Emergency and Acute Care Studies · Healthcare Policy and Management · Medicine
A Resource-Use Model for Long-Term Psychiatric Facilities
The Computerized Psychiatric Severity Index as a Predictor of Inpatient Length of Stay for Psychoses
A Classification System for Long-Staying Psychiatric Patients
Needs Not Diagnosis
Classifying Psychiatric Inpatients
A community ability scale for chronically mentally Ill consumers
A community ability scale for chronically mentally Ill consumers
| Citations per year | 0.19 |
|---|---|
| Citation span | 1990 - 1999 (10) |
| Highly cited | No |