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Utilization of Psychiatric Inpatient Care in Greece: a Nationwide Study (1984-1996)

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  • Michael G. Madianos
  • Costas Zacharakis
  • Chryssa Tsitsa

Abstract

This report examines the trends in the utilization of psychiatric inpatient care for the period 1984-1996, when the implementation of the psychiatric reform programme was initiated in Greece. Admissions in public mental hospitals declined by 7.2%. However discharges have been increased by 30.6% with a parallel decrease of the length of stay by 53.7% followed by an increase in discharges of patients diagnosed as suffering from schizophrenia and affective psychoses by 61.1 % and 123.8% respectively. In the prirrate sector a remarkable reduction in both admissions and discharges was noticed. Admissions in psychiatric departments of general hospi tals for the same years have been increased by 1054.1 %. It seems that the recent deinstitutionalization process resulted in increasing trends in the discharges of patients suffering from psychoses. Additionaliy, a substantial increase in the number of extramural psychiatric services and rehabilitation places between 1994-1996 was observed. The demand for the mental health care services expressed as the urbanization index was found to be related with mental health professionals and the extramural units ratios. The higher degree of urbanism is, the greater the number of extramural services exist. The models explained variance reached 50.6%.

Suggested Citation

  • Michael G. Madianos & Costas Zacharakis & Chryssa Tsitsa, 2000. "Utilization of Psychiatric Inpatient Care in Greece: a Nationwide Study (1984-1996)," International Journal of Social Psychiatry, , vol. 46(2), pages 89-100, June.
    • Handle: RePEc:sae:socpsy:v:46:y:2000:i:2:p:89-100
    DOI: 10.1177/002076400004600202
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    References listed on IDEAS

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    1. Michael G. Madianos, 1994. "Recent Advances in Community Psychiatry and Psychosocial Rehabilitation in Greece and the Other Southern European Countries," International Journal of Social Psychiatry, , vol. 40(3), pages 157-164, September.
    2. A.H. Schene & J.H. Henderson & H. Ch. Knudsen & R. Rijkschroeff & G. Thornicroft, 1992. "The Evaluation of Mental Health Care Transformation in the Cities of Europe," International Journal of Social Psychiatry, , vol. 38(1), pages 40-49, March.
    3. Fisher, William H. & Phillips, Barbara F., 1990. "Modeling the growth of long-stay populations in public mental hospitals," Social Science & Medicine, Elsevier, vol. 30(12), pages 1341-1347, January.
    4. S.P. Mangen, 1987. "Mental Health Policies in Europe: an Analysis of Priorities and Problems," International Journal of Social Psychiatry, , vol. 33(2), pages 76-82, June.
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