Trends in inpatient care for psychiatric disorders in NHS hospitals across England, 1998/99–2019/20: an observational time series analysis
<strong>Purpose</strong> It is unclear how hospitals are responding to the mental health needs of the population in England, against a backdrop of diminishing resources. We aimed to document patterns in hospital activity by psychiatric disorder and how these have changed over the last 22...
| Príomhchruthaitheoirí: | , , , , , , |
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| Formáid: | Journal article |
| Teanga: | English |
| Foilsithe / Cruthaithe: |
Springer
2021
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| _version_ | 1826308588669239296 |
|---|---|
| author | Degli Esposti, M Ziauddeen, H Bowes, L Reeves, A Chekroud, AM Humphreys, DK Ford, T |
| author_facet | Degli Esposti, M Ziauddeen, H Bowes, L Reeves, A Chekroud, AM Humphreys, DK Ford, T |
| author_sort | Degli Esposti, M |
| collection | OXFORD |
| description | <strong>Purpose</strong>
It is unclear how hospitals are responding to the mental health needs of the population in England, against a backdrop of diminishing resources. We aimed to document patterns in hospital activity by psychiatric disorder and how these have changed over the last 22 years.
<br>
<strong>Methods</strong>
In this observational time series analysis, we used routinely collected data on all NHS hospitals in England from 1998/99 to 2019/20. Trends in hospital admissions and bed days for psychiatric disorders were smoothed using negative binomial regression models with year as the exposure and rates (per 1000 person-years) as the outcome. When linear trends were not appropriate, we fitted segmented negative binomial regression models with one change-point. We stratified by gender and age group [children (0–14 years); adults (15 years +)].
<br>
<strong>Results</strong>
Hospital admission rates and bed days for all psychiatric disorders decreased by 28.4 and 38.3%, respectively. Trends were not uniform across psychiatric disorders or age groups. Admission rates mainly decreased over time, except for anxiety and eating disorders which doubled over the 22-year period, significantly increasing by 2.9% (AAPC = 2.88; 95% CI: 2.61–3.16; p < 0.001) and 3.4% (AAPC = 3.44; 95% CI: 3.04–3.85; p < 0.001) each year. Inpatient hospital activity among children showed more increasing and pronounced trends than adults, including an increase of 212.9% for depression, despite a 63.8% reduction for adults with depression during the same period.
<br>
<strong>Conclusion</strong>
In the last 22 years, there have been overall reductions in hospital activity for psychiatric disorders. However, some disorders showed pronounced increases, pointing to areas of growing need for inpatient psychiatric care, especially among children. |
| first_indexed | 2024-03-07T07:21:37Z |
| format | Journal article |
| id | oxford-uuid:a6499ad1-318f-4a69-9132-802d0e79a3e8 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:21:37Z |
| publishDate | 2021 |
| publisher | Springer |
| record_format | dspace |
| spelling | oxford-uuid:a6499ad1-318f-4a69-9132-802d0e79a3e82022-10-14T10:02:41ZTrends in inpatient care for psychiatric disorders in NHS hospitals across England, 1998/99–2019/20: an observational time series analysisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a6499ad1-318f-4a69-9132-802d0e79a3e8EnglishSymplectic ElementsSpringer2021Degli Esposti, MZiauddeen, HBowes, LReeves, AChekroud, AMHumphreys, DKFord, T<strong>Purpose</strong> It is unclear how hospitals are responding to the mental health needs of the population in England, against a backdrop of diminishing resources. We aimed to document patterns in hospital activity by psychiatric disorder and how these have changed over the last 22 years. <br> <strong>Methods</strong> In this observational time series analysis, we used routinely collected data on all NHS hospitals in England from 1998/99 to 2019/20. Trends in hospital admissions and bed days for psychiatric disorders were smoothed using negative binomial regression models with year as the exposure and rates (per 1000 person-years) as the outcome. When linear trends were not appropriate, we fitted segmented negative binomial regression models with one change-point. We stratified by gender and age group [children (0–14 years); adults (15 years +)]. <br> <strong>Results</strong> Hospital admission rates and bed days for all psychiatric disorders decreased by 28.4 and 38.3%, respectively. Trends were not uniform across psychiatric disorders or age groups. Admission rates mainly decreased over time, except for anxiety and eating disorders which doubled over the 22-year period, significantly increasing by 2.9% (AAPC = 2.88; 95% CI: 2.61–3.16; p < 0.001) and 3.4% (AAPC = 3.44; 95% CI: 3.04–3.85; p < 0.001) each year. Inpatient hospital activity among children showed more increasing and pronounced trends than adults, including an increase of 212.9% for depression, despite a 63.8% reduction for adults with depression during the same period. <br> <strong>Conclusion</strong> In the last 22 years, there have been overall reductions in hospital activity for psychiatric disorders. However, some disorders showed pronounced increases, pointing to areas of growing need for inpatient psychiatric care, especially among children. |
| spellingShingle | Degli Esposti, M Ziauddeen, H Bowes, L Reeves, A Chekroud, AM Humphreys, DK Ford, T Trends in inpatient care for psychiatric disorders in NHS hospitals across England, 1998/99–2019/20: an observational time series analysis |
| title | Trends in inpatient care for psychiatric disorders in NHS hospitals across England, 1998/99–2019/20: an observational time series analysis |
| title_full | Trends in inpatient care for psychiatric disorders in NHS hospitals across England, 1998/99–2019/20: an observational time series analysis |
| title_fullStr | Trends in inpatient care for psychiatric disorders in NHS hospitals across England, 1998/99–2019/20: an observational time series analysis |
| title_full_unstemmed | Trends in inpatient care for psychiatric disorders in NHS hospitals across England, 1998/99–2019/20: an observational time series analysis |
| title_short | Trends in inpatient care for psychiatric disorders in NHS hospitals across England, 1998/99–2019/20: an observational time series analysis |
| title_sort | trends in inpatient care for psychiatric disorders in nhs hospitals across england 1998 99 2019 20 an observational time series analysis |
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