Review: day hospital is as effective as inpatient care but has lower costs for patients with acute psychiatric disorders
QUESTION: Is day hospital more effective and less costly than inpatient care for patients with acute psychiatric disorders?
Studies were identified by searching the Cochrane Library (Issue 4, 2000), Medline (1966–2000), CINAHL (1982–2000), EMBASE/Excerpta Medica (1980–2000), PsycLIT (1967–2000), and bibliographies of relevant articles. Researchers were contacted to identify unpublished studies.
Randomised controlled trials that compared acute psychiatric day hospital with standard inpatient care for patients with acute psychiatric disorders (all diagnoses) were selected. Studies were excluded if most participants were <18 or >65 years of age, or if participants had substance abuse or organic brain disorder.
Data were extracted on study quality, patients, feasibility of day hospital treatment, extent of hospital care, clinical and social outcomes, and costs of care.
9 trials (n=1568) met the selection criteria. Follow up duration ranged from …