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Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process.
Mundt, Adrian P; Rozas Serri, Enzo; Irarrázaval, Matías; O'Reilly, Richard; Allison, Stephen; Bastiampillai, Tarun; Musisi, Seggane; Kagee, Ashraf; Golenkov, Andrei; El-Khoury, Joseph; Park, Seon-Cheol; Chwastiak, Lydia; Priebe, Stefan.
Afiliação
  • Mundt AP; Facultad de Medicina, Universidad Diego Portales, Santiago, Chile. adrian.mundt@mail.udp.cl.
  • Rozas Serri E; Departamento de Neurología y Psiquiatría, Clínica Alemana de Santiago, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile. adrian.mundt@mail.udp.cl.
  • Irarrázaval M; Facultad de Medicina, Universidad Diego Portales, Santiago, Chile.
  • O'Reilly R; Department of Psychiatry and Mental Health, Hospital Clínico Universidad de Chile, Santiago, Chile.
  • Allison S; Ministry of Health, Republic of Chile, Santiago, Chile.
  • Bastiampillai T; Millenium Institute for Research in Depression and Personality, Santiago, Chile.
  • Musisi S; Department of Psychiatry, Western University, London, ON, Canada.
  • Kagee A; Department of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
  • Golenkov A; Visiting Clinical Professor Department of Psychiatry Monash University Wellington Road, Clayton, 3800, Australia.
  • El-Khoury J; Department of Psychiatry School of Medicine, Mulago Hospital, Makerere University College of Health Sciences, Kampala, Uganda.
  • Park SC; Department of Psychology, Stellenbosch University, Stellenbosch, South Africa.
  • Chwastiak L; Psychiatry and Medical Psychology, Chuvash State University, Cheboksary, Russian Federation.
  • Priebe S; Department of Psychiatry, American University of Beirut, Beirut, Lebanon.
Mol Psychiatry ; 27(4): 1873-1879, 2022 04.
Article em En | MEDLINE | ID: mdl-35064234
The required minimum number of psychiatric inpatient beds is highly debated and has substantial resource implications. The present study used the Delphi method to try to reach a global consensus on the minimum and optimal psychiatric bed numbers. An international board of scientific advisors nominated the Delphi panel members. In the first round, the expert panel provided responses exploring estimate ranges for a minimum to optimal numbers of psychiatric beds and three levels of shortage. In a second round, the panel reconsidered their responses using the input from the total group to achieve consensus. The Delphi panel comprised 65 experts (42% women, 54% based in low- and middle-income countries) from 40 countries in the six regions of the World Health Organization. Sixty psychiatric beds per 100 000 population were considered optimal and 30 the minimum, whilst 25-30 was regarded as mild, 15-25 as moderate, and less than 15 as severe shortage. This is the first expert consensus on minimum and optimal bed numbers involving experts from HICs and LMICs. Many high-income countries have psychiatric bed numbers that fall within the recommended range. In contrast, the number of beds in many LMIC is below the minimum recommended rate.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Consenso Tipo de estudo: Guideline Limite: Female / Humans / Male Idioma: En Revista: Mol Psychiatry Assunto da revista: BIOLOGIA MOLECULAR / PSIQUIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Consenso Tipo de estudo: Guideline Limite: Female / Humans / Male Idioma: En Revista: Mol Psychiatry Assunto da revista: BIOLOGIA MOLECULAR / PSIQUIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido