Abstract Background As China's aging population continues to grow, the prevalence of mental illness among the seniors has been steadily increasing. The aim of this study is to reveal the changing trends and characteristics of economic burden among seniors patients with long-term hospitalization for mental illness, and to analyze the influencing factors. Methods The data for this study were gathered from seniors’ patients with mental illness who were hospitalized and aged 60 years or older. The patients were admitted to four specialized and general hospitals located in Dalian city between January 2018 and December 2020. The types of diseases include affective mental disorders (mood disorders), Schizophrenia, schizotypal, and delusional disorders, Organic (including symptomatic) mental disorders, Neurotic, stress-related and somatoform disorders, Mental retardation, Mental and behavioral disorders due to substance use. (Identify the main diagnosis at discharge using ICD-10 coding). This study analyzed the basic characteristics and disease-related information of seniors patients with long-term psychiatric disorders who were hospitalized, and explored the factors influencing hospitalization costs among patients with different illnesses. Results Among the 3871 study subjects, the average length of hospital stay was 127.51 days. The average hospitalization expenses per case were 33,656.07 yuan. Seniors’ patients with mental illness who receives treatment in specialized hospitals have higher hospitalization costs. Long-term hospitalization increases the total hospitalization costs. Age has an impact on hospitalization costs for patients with organic mental disorders. Patients with affective disorders (mood disorders) and neurotic, stress-related, and somatoform disorders who are covered by urban employee medical insurance have higher hospitalization costs.Patients with severe psychiatric disorders who have a 31-day readmission plan, as well as senior patients with somatoform disorders comorbid with other illnesses, incur higher hospitalization costs. Conclusions We should take corresponding measures to reduce the number of readmissions for patients with severe mental illnesses. The impact of treatment methods and differences in healthcare institutions on total hospitalization costs deserves further research. It is necessary to strengthen the prevention and diagnosis of comorbid physical illnesses in patients with mental disorders. The burden of mental illnesses in the seniors is significant, and medical insurance policies should be inclined towards providing support.
Abstract Background As China's aging population continues to grow, the prevalence of mental illness among the elderly has been steadily increasing.The aim of this study is to reveal the changing trends and characteristics of economic burden among elderly patients with long-term hospitalization for mental illness, and to analyze the influencing factors. Methods In a retrospective analysis, The data for this study was gathered from elderly patients with mental illness who were hospitalized and aged 60 years or older. The patients were admitted to four specialized and general hospitals located in Dalian city between January 2018 and December 2020. Firstly, This study analyzed the basic characteristics of elderly patients with mental illness, with a focus on their personal characteristics. Secondly, the study examined the disease status of elderly patients by analyzing disease-related information of those who were hospitalized for an extended period. Finally, the study analyzed the influencing factors of hospitalization costs for elderly patients with different diseases, based on the differences in hospitalization costs for elderly patients with mental illness among various factors. Results Among the 3871 study subjects, the average length of hospital stay was 127.51 days (median 104.00, interquartile range 77.00-154.00).The average hospitalization expenses per case were 33,656.07 yuan (median 27,789.79, interquartile range 19,208.48-38,424.27). Patients were primarily hospitalized in specialized hospitals, and their subaverage hospitalization costs decreased year by year.The primary diagnosis for patient discharge was affective disorders (mood disorders) (ICD-10: F30-F39), and the hospitalization expenses for this disease increased annually over the three-year period.the length of hospital stay was found to be a significant factor affecting all six types of mental illnesses and had the most significant impact on the hospitalization costs of elderly patients with different mental illnesses. Moreover, the hospital category also had a significant impact on the hospitalization costs of elderly patients with all six types of mental illnesses. The payment method of medical insurance had a significant impact on the hospitalization costs of elderly patients with five types of mental illnesses, except for affective disorders. When compared to other types of medical insurance, employee medical insurance had a more significant impact on the hospitalization costs of elderly patients with two types of mental illnesses. Additionally, age only had a significant impact on the hospitalization costs of elderly patients with organic (including symptomatic) mental disorders. The presence of a 31-day readmission plan had a significant impact on the hospitalization costs of elderly patients with four types of mental illnesses. Moreover, the number of physical illnesses had a significant impact on the hospitalization costs of elderly patients with neurotic, stress-related, and somatoform disorders. Conclusions Elderly patients with mental illness who receive treatment in specialized hospitals have higher hospitalization costs. Long-term hospitalization increase the total hospitalization costs. Age have an impact on hospitalization costs for patients with organic mental disorders. Patients with two types of mental illnesses who are covered by urban employee medical insurance have higher hospitalization costs.Patients with severe mental illnesses who have a 31-day readmission plan tend to have higher hospitalization costs.Patients with somatic symptom disorders and concurrent physical illnesses often incur higher hospitalization costs.These findings provide a basis for the development of prevention and control measures for elderly mental illness, and offer a reference for the development of health services and security systems for elderly mental illness.
Background Between 2020 and 2022, the COVID-19 pandemic spread globally, and the implementation of preventive measures led to reduced outdoor activities for older adults, resulting in a decline in social functioning. This study aims to improve community-based health interventions tailored to older adults experiencing physical and psychological declines following the COVID-19 pandemic. Methods This study utilized previous data mining results to estimate the demand for community health services for older adults. It involves collecting questionnaire responses to understand the basic characteristics and lifestyle behaviors of older adults. The severity of health issues among older adults was assessed using the KCL and GHQ-12 scales. Statistical analyses included descriptive statistics, chi-square tests, t -tests, ANOVA, non-parametric tests as applicable, and stratified binary logistic regression to determine the factors influencing the health status of older adults. Results Over 60% of the older adult population suffers from chronic diseases, and more than 70% do not participate in social activities. In the overall older adults, the detection rate for poor health is 15.60%. Chronic illness, reduced ability to perform daily activities, anxiety, poor self-rated health, sleep disturbances, and nutritional imbalance were identified as key risk factors affecting the health of older adults in the community. Conclusion Older adults mainly engage in physical exercise, maintain a healthy lifestyle, and control their diet as self-care strategies. Early signs of frailty are characterized by declines in lower limb muscle function and memory. The most common manifestation of poor health among older adults is anxiety.
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