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Table 2 Patient characteristics and service utilization in the 3 major psychiatric disease categories

From: A sequence analysis of hospitalization patterns and service utilization in patients with major psychiatric disorders in China

 

Schizophrenia

Bipolar disorder

Depression

Statistics

Patient characteristics

Number of patients (n(%))

1705 (49.52)

890 (25.85)

848 (24.63)

/

Gender: Male (n(%))

805 (47.21)

355 (39.89)

289 (34.08)

χ2(2) = 42.46, p < 0.001

Age (mean, SD)

41.09 (14.86)

40.76 (14.97)

48.99 (15.91)

H(2) = 157.72, p < 0.001

Payment methods (n(%))

   

χ2(4) = 44.66, p < 0.001

 Urban employee insurance

849 (49.79)

424 (47.64)

423 (49.88)

 

 Other insurance

526 (30.85)

219 (24.61)

287 (33.84)

 

 Un-insured

330 (19.35)

247 (27.75)

138 (16.27)

 

Charlson Comorbidity Index (at index admission) (n(%))

   

χ2(4) = 8.75, p = 0.07

 0

1396 (81.88)

752 (84.49)

718 (84.67)

 

 1

257 (15.07)

113 (12.7)

97 (11.44)

 

  > 1

52 (3.05)

25 (2.81)

33 (3.89)

 

Psychiatric service utilization

Single admission (n(%))

964 (56.54)

559 (62.81)

646 (76.18)

χ2(2) = 93.73, p < 0.001

Admission frequency (mean (SD))

2.36 (2.29)

1.62 (1.14)

1.38 (0.91)

H(2) = 98.26, p < 0.001

Total length of stay in 3 years (in days, mean (SD))

217.55 (330.85)

67.26 (98.48)

49.94 (69.09)

H(2) = 377.68, p < 0.001

Cumulative psychiatric hospital days (n(%))

370,928 (78.40)

59,857 (12.65)

42,347 (8.95)

/

Total expense (mean (SD))

110,305.81 (172,878.59)

34,296.48 (51,565.11)

27,221.73 (36,092.11)

H(2) = 307.21, p < 0.001

Daily expense (mean (SD)) a

520.53 (155.72)

543.24 (176.39)

582.59 (224.41)

H(2) = 78.86, p < 0.001

Cumulative psychiatric hospital expense (in million RMB)

188.07 (77.82)

30.52 (12.63)

23.08 (9.55)

/

Psychiatric readmission

Same-day readmission (n(%))

301 (17.65)

24 (2.7)

21 (2.48)

χ2(2) = 216.11, p < 0.001

30-day readmission (n(%))

362 (21.23)

53 (5.96)

65 (7.67)

χ2(2) = 150.68, p < 0.001

365-day readmission (n(%))

550 (32.26)

164 (18.43)

148 (17.45)

χ2(2) = 94.08, p < 0.001

Non-psychiatric service utilization

Patients with non-psychiatric admission (n(%))

227 (13.31)

156 (17.53)

196 (23.11)

χ2(2) = 39.31, p < 0.001

Total length of stay in 3 years (in days, mean (SD))

18.47 (28.64)

23.76 (48.9)

22.17 (37.08)

H(2) = 4.39, p = 0.11

Daily expense (mean (SD)) ab

1569.43 (1605.57)

1720.87 (1970.09)

2036.34 (3689.43)

H(2) = 0.67, p = 0.72

Total expense (in 3 years) (mean (SD))b

24,921.58 (36,182.94)

31,942.02 (55,886.31)

33,197.07 (46,478.5)

H(2) = 5.61, p = 0.06

Proportion of non-psychiatric expense/the total expense (mean (SD)) cb

34.47%(25.22%)

42.13%(25.40%)

46.65%(27.61%)

H(2) = 23.05, p < 0.001

  1. aThe daily expense was calculated for each patient as total psychiatric/non-psychiatric expenses of 3 years divided by the total psychiatric/non-psychiatric hospital days
  2. bThe denominator for the mean was patients with non-psychiatric admission in the 3-year observation period
  3. cThe proportion of the non-psychiatric expense in the total expense was calculated as total non-psychiatric expense/(total psychiatric expense + total non-psychiatric expense)*100%