PMID- 21984407
OWN - NLM
STAT- MEDLINE
DCOM- 20120907
LR  - 20211020
IS  - 1573-6709 (Electronic)
IS  - 0033-2720 (Linking)
VI  - 83
IP  - 2
DP  - 2012 Jun
TI  - Psychiatrist characteristics related to patient outcome in Japan.
PG  - 221-39
LID - 10.1007/s11126-011-9195-x [doi]
AB  - We evaluated psychiatric care in terms of the relationship between patient 
      outcome (length of stay, Global Assessment of Functioning (GAF) at discharge, GAF 
      difference, and GAF change per day) and psychiatrist characteristics (gender and 
      years in psychiatric practice) in patients with schizophrenia, schizotypal, or 
      delusional disorders (ICD-10 codes F20-F29) and in those with mood disorders 
      (ICD-10 codes F30-F39). The sample consisted of inpatients discharged from an 
      institute in Japan between April 2007 and March 2008. Multivariate analyses were 
      performed to identify patient and psychiatrist characteristics related to 
      outcome. We found that psychiatrist characteristics, such as gender and years in 
      practice, were associated with GAF-related outcomes in patients in the F20-F29 
      and F30-F39 code groups (P < 0.05, P < 0.001, respectively). Patient 
      characteristics and clinical factors such as GAF at admission, ward type, arrival 
      by ambulance, admission type, seclusion, restraint, diagnosis, and patient age, 
      were associated with outcome in both diagnostic groups. These findings show that 
      gender and years in psychiatric practice had a significant effect on psychiatric 
      patient outcome. Further studies in multiple institutes using a follow-up design 
      are necessary to verify these findings.
FAU - Abe, Takeru
AU  - Abe T
AD  - Department of Health Services, Management and Policy, Kyushu University Graduate 
      School of Medicine, 3-1-1 Higashi-ku, Fukuoka, 812-8582, Japan.
FAU - Moriya, Megumi
AU  - Moriya M
FAU - Ikeda, Koji
AU  - Ikeda K
FAU - Kuroda, Kenji
AU  - Kuroda K
FAU - Hagihara, Akihito
AU  - Hagihara A
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Psychiatr Q
JT  - The Psychiatric quarterly
JID - 0376465
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Analysis of Variance
MH  - Clinical Competence/standards
MH  - *Commitment of Mentally Ill
MH  - Female
MH  - Hospitalization/*statistics & numerical data
MH  - Hospitals, Psychiatric/organization & administration/statistics & numerical data
MH  - Humans
MH  - Inpatients/statistics & numerical data
MH  - International Classification of Diseases
MH  - Japan
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Medical Records
MH  - Mental Disorders/epidemiology/*therapy
MH  - Mental Health Services/organization & administration/*standards
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Outcome and Process Assessment, Health Care/*statistics & numerical data
MH  - Practice Patterns, Physicians'/*statistics & numerical data
MH  - Referral and Consultation/statistics & numerical data
MH  - Severity of Illness Index
MH  - Sex Factors
MH  - Time Factors
MH  - Young Adult
EDAT- 2011/10/11 06:00
MHDA- 2012/09/08 06:00
CRDT- 2011/10/11 06:00
PHST- 2011/10/11 06:00 [entrez]
PHST- 2011/10/11 06:00 [pubmed]
PHST- 2012/09/08 06:00 [medline]
AID - 10.1007/s11126-011-9195-x [doi]
PST - ppublish
SO  - Psychiatr Q. 2012 Jun;83(2):221-39. doi: 10.1007/s11126-011-9195-x.