The changing patient population in general hospital psychiatric services |
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| Authors: | S L Keill |
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| Affiliation: | 1. State Key Laboratory of Advanced Design and Manufacturing for Vehicle Body, Hunan University, Changsha 410082, China;2. Joint Laboratory for Internet of Vehicles, Ministry of Education – China Mobile Communications Corporation, Beijing 10084, China;3. State Key Laboratory of Automotive Safety and Energy, Tsinghua University, Beijing 100084, China;4. Department of Mechanical and Mechatronics Engineering, University of Waterloo, Waterloo, ON N2L3G1, Canada;5. Department of Mechanical Engineering, University of Texas at Austin, TX 78712-1591, USA;1. College of Shipbuilding Engineering, Harbin Engineering University, Harbin, 150001, Heilongjiang Province, China;2. Yantai Research Institute of Harbin Engineering University, Harbin Engineering University, Yantai, 265502, Shandong Province, China;1. Patient Safety Research Center, Nursing and Midwifery Faculty, Urmia University of Medical Sciences, Urmia, Iran;2. Department of Medical-Surgical Nursing, Nursing and Midwifery Faculty, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran;3. Department of Biostatistics, Nursing and Midwifery Faculty, Urmia University of Medical Sciences, Urmia, Iran;4. Reconstructive and Burn Surgery Department, Medicine Faculty, Urmia University of Medical Sciences, Urmia, Iran;1. Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Dalian Medical University, Dalian, China;2. Department of Neurology, Dalian Municipal Central Hospital, Dalian, China;3. School of Clinical Medicine, Dalian Medical University, Dalian, China;4. Department of Respiratory and Critical Care Medicine, General Hospital of Northern Theater Command, Shenyang, China |
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| Abstract: | There has been a profound expansion in the past 25 years in the numbers and categories of psychiatric patients treated in general hospital programs. These changes have been stimulated by new technologies, better integration of health and other human services systems, and changing fiscal concerns. Particularly affected have been inpatient units, emergency services, and the ambulatory care and consultation-liaison sections. Much greater attention and more effective treatments are currently available for involuntary, geriatric, and substance abuse patients, as well as patients with chronic psychiatric illnesses and a few discrete clinical entities. General hospitals need to continue to refine and expand their role as a major clinical component in the comprehensive psychiatric care delivery system. |
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