Evidence map›Paper›PMID 30249947›Full record

ArticleJournal of epidemiology2019

Geographical Variation in Psychiatric Admissions Among Recipients of Public Assistance.

Yasuyuki Okumura, Nobuo Sakata, Hisateru Tachimori, Tadashi Takeshima

Abstract read
In one paragraph

Article in Journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Variation in Psychiatric Hospitalisations: A Multiple-Membership Multiple-Classification Analysis.International journal of environmental research and public health · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Mental health service areas in Switzerland.International journal of methods in psychiatric research · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yasuyuki OkumuraResearch Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare.ORCID http://orcid.org/0000-0001-5851-8919
Nobuo SakataResearch Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare.
Hisateru TachimoriNational Institute of Mental Health, National Center of Neurology and Psychiatry.
Tadashi TakeshimaKawasaki City Center for Mental Health and Welfare.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the area-specific resource use of inpatient psychiatric care is essential for the efficient use of the public assistance system. This study aimed to assess the geographical variation in psychiatric admissions and to identify the prefecture-level determinants of psychiatric admissions among recipients of public assistance in Japan.

methodsWe identified all recipients of public assistance who were hospitalized in a psychiatric ward in May 2014, 2015, or 2016 using the Fact-finding Survey on Medical Assistance. The age- and sex-standardized number of psychiatric admissions was calculated for each of the 47 prefectures, using direct and indirect standardization methods.

resultsA total of 46,559 psychiatric inpatients were identified in May 2016. The number of psychiatric admissions per 100,000 population was 36.6. We found a 7.1-fold difference between the prefectures with the highest (Nagasaki) and lowest (Nagano) numbers of admissions. The method of decomposing explained variance in the multiple regression model showed that the number of psychiatric beds per 100,000 population and the number of recipients of public assistance per 1,000 population were the most important determinants of the number of psychiatric admissions (R

conclusionsWe identified a large geographical variation in the number and total medical cost of psychiatric admissions among recipients of public assistance. Our findings should encourage policy makers to assess the rationale for this variation and consider strategies for reducing it.

Indexed as

Public AssistanceAgedAged, 80 and overAge DistributionFemaleHospitals, PsychiatricHumansJapanLength of StayMaleMental DisordersMental Health ServicesMiddle AgedPatient AdmissionPopulation SurveillancePsychiatric Department, Hospitalbreeder effectsdrift effectsecological studyspatial variationsupplier-induced demand

Identifiers

PMID30249947
PMCPMC6556440

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.