Expert Arguments for Trends of Psychiatric Bed Numbers: A Systematic Review of Qualitative Data

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dc.contributor.authorMundt, Adrián
dc.contributor.authorDelhey Langerfeldt, Sabine
dc.contributor.authorRozas Serri, Enzo
dc.contributor.authorSiebenförcher, Mathias
dc.contributor.authorPriebe, Stefan
dc.date.accessioned2022-03-30T16:00:31Z
dc.date.available2022-03-30T16:00:31Z
dc.date.issued2021
dc.description.abstractIntroduction: Mental health policies have encouraged removals of psychiatric beds in many countries. It is under debate whether to continue those trends. We conducted a systematic review of expert arguments for trends of psychiatric bed numbers. Methods: We searched seven electronic databases and screened 15,479 papers to identify expert opinions, arguments and recommendations for trends of psychiatric bed numbers, published until December 2020. Data were synthesized using thematic analysis and classified into arguments to maintain or increase numbers and to reduce numbers. Results: One hundred six publications from 25 countries were included. The most common themes arguing for reductions of psychiatric bed numbers were inadequate use of inpatient care, better integration of care and better use of community care. Arguments to maintain or increase bed numbers included high demand of psychiatric beds, high occupancy rates, increasing admission rates, criminalization of mentally ill, lack of community care and inadequately short length of stay. Cost effectiveness and quality of care were used as arguments for increase or decrease. Conclusions: The expert arguments presented here may guide and focus future debate on the required psychiatric bed numbers. The recommendations may help policymakers to define targets for psychiatric bed numbers. Arguments need careful local evaluation, especially when supporting opposite directions of trends in different contexts.es
dc.description.versionVersión Publicadaes
dc.identifier.citationMundt AP, Delhey Langerfeldt S, Rozas Serri E, Siebenförcher M, Priebe S. Expert Arguments for Trends of Psychiatric Bed Numbers: A Systematic Review of Qualitative Data. Front Psychiatry. 2021 Dec 24;12:745247. doi: 10.3389/fpsyt.2021.745247.es
dc.identifier.urihttps://doi.org/: 10.3389/fpsyt.2021.745247es
dc.identifier.urihttp://hdl.handle.net/11447/5865
dc.language.isoenes
dc.subjectPsychiatric hospital bedses
dc.subjectGeneral hospital psychiatryes
dc.subjectInstitutionalizationes
dc.subjectExpert recommendationes
dc.subjectConsensuses
dc.subjectInpatientes
dc.subjectLength of stayes
dc.titleExpert Arguments for Trends of Psychiatric Bed Numbers: A Systematic Review of Qualitative Dataes
dc.typeArticlees
dcterms.sourceFrontiers in Psychiatryes

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