Ninety consecutive non-repeating hospital admissions of patients with AIDS were studied. The rates of psychosocial service utilization were quite high for consultation psychiatry (24.4%), social work (42.2%), and home care (discharge planning) nursing (24.4%). The presence of psychiatric co-morbidities and social needs were associated with increased length of stay. In addition, psychiatric co-morbidities were associated with increased charges for pharmacy and laboratory.
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References
1.
CurranJ. W.MorganW. M.HardyA. M., The Epidemiology of AIDS: Current Status and Future Prospects, Science, 239, pp. 1352–1357, 1988.
2.
NicholsS. E., Psychiatric Aspects of AIDS, Psychosomatics, 24, pp. 1083–1089, 1983.
3.
LeukefeldC. G., Psychosocial Issues in Dealing with AIDS, Hospital and Community Psychiatry, 40, pp. 454–455, 1990.
4.
BlackD. W.WarrackG., and WinokurG., The Iowa Record-Linkage Study: III, Excess Mortality among Patients with “Functional” Disorders, Archives of General Psychiatry, 42, pp. 82–88, 1985.
5.
TsuangM. T.BoorM., and FlemingJ. A., Psychiatric Aspects of Traffic Accidents, American Journal of Psychiatry, 142, pp. 538–546, 1985.
6.
OstrowD. G.MonjanA.JosephJ.VanRadenM.FoxR.KingsleyL.DudleyJ., and PhairJ., HIV-Related Symptoms and Psychological Functioning in a Cohort of Homosexual Men, American Journal of Psychiatry, 146, pp. 737–742, 1990.
7.
ChuangH. T.DevinsG. M.HunsleyJ., and GillM. J., Psychosocial Distress and Well-being among Gay and Bisexual Men with HIV Infection, American Journal of Psychiatry, 146, pp. 876–880, 1990.
8.
ChristG. H.WienerL. S., and MoynihanR. T., Psychosocial Issues in AIDS, Psychiatric Annals, 16, pp. 173–179, 1986.
9.
CoatesT. J.TemoshokL., and MandelJ., Psychosocial Research is Essential to Understanding and Treating AIDS, American Psychologist, 39, pp. 1309–1314, 1984.
10.
BrookT. I., Approval of Zidovudine (AZT) for Acquired Immunodeficiency Syndrome. A Challenge to the Medical and Pharmaceutical Communities, Journal of the American Medical Association, 258, p. 1517, 1987.
11.
ScitovskyA. A.ClineM., and LeeP. R., Medical Care Costs of Patients with AIDS in San Francisco, Journal of the American Medical Association, 256, pp. 3103–3109, 1986.
12.
HardyA. M.RauchK.EchenbergD., The Economic Impact of the First 10,000 Cases of Acquired Immunodeficiency Syndrome in the United States, Journal of the American Medical Association, 255, pp. 209–211, 1986.
13.
HechingerF. J., Forecasting the Personal Medical Care Costs of AIDS from 1988 Through 1991, Public Health Reports, 103, pp. 309–319, 1988.
14.
RogersD. E., Federal Spending on AIDS—How Much Is Enough?New England Journal of Medicine, 320, pp. 1623–1624, 1990.
15.
ScitovskyA. A., Changes in the Costs of Treatment of Selected Illness, 1971–1981, Medical Care, 23, pp. 1345–1357, 1985.
16.
Morbidity and Mortality Weekly Report, Revision of the CDC Surveillance Case Definition for Acquired Immunodeficiency Syndrome, Journal of the American Medical Association, 258, pp. 1143–1153, 1987.
17.
HammerJ. S.LyonsJ. S.BelinaB. A.StrainJ. J., and PlautE. A., Toward the Integration of Psychosocial Services in the General Hospital, The Human Services Department, General Hospital Psychiatry, 7, pp. 189–194, 1985.
18.
LyonsJ. S.HammerJ. S.LarsonD. B.VisotskyH. M., and BurnsB. J., The Impact of Implementation of a Prospective Payment System on Psychosocial Services in the General Hospital, Medical Care, 25, pp. 140–147, 1987.
19.
HammerJ. S.HammondD.StrainJ. J., and LyonsJ. S., Microcomputers and Consultation-Liaison Psychiatry, General Hospital Psychiatry, 7, pp. 159–162, 1985.
20.
HornS. D.SharkeyP. D., and BertramD. A., Measuring the Severity of Illness: Homogeneous Case-Mix Groups, Medical Care, 21, pp. 14–27, 1983.
21.
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition, Revised, American Psychiatric Association, Washington, D.C., 1987.
22.
WallenJ.PincusH., and GoldmanH., Psychiatric Consultations in Short-Term General Hospitals, Archives of General Psychiatry, 44, pp. 163–168, 1987.
23.
KligermanM. J. and McKegneyF. P., Patterns of Psychiatric Consultation in Two General Hospitals, International Journal of Psychiatry in Medicine, 2, pp. 126–132, 1971.
24.
DilleyJ. W.OchitilH. N.PerlM., and VolberdingP.A.Findings in Psychiatric Consultations with Patients with Acquired Immune Deficiency Syndrome, American Journal of Psychiatry, 142, pp. 82–86, 1985.
25.
Coolfont Report, PHS Plan for Prevention and Control of AIDS and the AIDS Virus, Public Health Reports, 101, pp. 341–348, July—August 1986.
26.
LipowskiZ. J., Review of Consultation Psychiatry and Psychosomatic Medicine. II. Clinical Aspects, Psychosomatic Medicine, 29, pp. 201–224, 1967.
27.
PerryS. W. and MarkowitzJ., Psychiatric Interventions for AIDS-Spectrum Disorders, Hospital and Community Psychiatry, 37, pp. 1001–1005, 1986.
28.
SniderW. D.SimpsonD. M.NielsonG., Neurological Complications of Acquired Immunodeficiency Syndrome: Analysis of 50 Patients, Annals of Neurology, 14, pp. 403–418, 1983.
29.
FulopG.StrainJ. J.VitaJ., Psychiatric and Medical Co-Morbidities, Effects on Length of Stay, American Journal of Psychiatry, 144, pp. 878–893, 1987.
30.
AckermanA. D.LyonsJ. S.HammerJ. S., and LarsonD. B., Depression and the Timing of Psychiatric Consultations in the General Hospital, Hospital and Community Psychiatry, 39, pp. 173–176, 1988.
