Disparities in mental health care utilization among inpatients in various types of health institutions: a cross-sectional study based on EHR data in Shanghai, China

BMC Public Health
Jianwei ShiZhaoxin Wang

Abstract

Reform of the health care system in China has prompted concerns about the utilization of mental health services. This study aims to compare the utilization of mental health services among inpatients in various types of health institutions in Shanghai (community health care centres, secondary general hospitals, tertiary general hospitals, and specialty hospitals). Based on electronic health record (EHR) data, we extracted all of the mental hospitalization data from various types of public health institutions in Pudong New Area, Shanghai, China, from 2013 to 2016. The distribution of mentally ill inpatients and the possible factors contributing to the observed differences in these institutions were analysed. Specialty psychiatric hospitals in Pudong New Area, Shanghai, admitted more inpatients and treated in patients with more severe disorders (49.73%). However, those who were male (OR = 0.545), were elderly (OR = 20.133), had inferior insurance (urban social insurance for citizens: OR = 4.013; paying themselves, OR = 29.489), had a longer length of stay (OR = 1.001) and had lower costs (OR = 0.910) were more likely to choose community health centres than specialty hospitals. Those who preferred the secondary and tertiary hospita...Continue Reading

References

Jun 3, 2004·JAMA : the Journal of the American Medical Association·Koen DemyttenaereUNKNOWN WHO World Mental Health Survey Consortium
Nov 30, 2006·Archives of Internal Medicine·Simon GilbodyAlex J Sutton
Oct 13, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Jin LiuXin Yu
May 23, 2016·Lancet·Shiwei Liu, Andrew Page
Jan 27, 2017·Annual Review of Public Health·Gordon G LiuXuezhi Hong
Jun 24, 2017·The International Journal of Health Planning and Management·Zhaoxin WangLimei Jing

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