Self-admission in psychiatry: The ethics.
healthcare rationing
inpatients
medical ethics
patient admissions
psychiatry
voluntary admissions
Journal
Bioethics
ISSN: 1467-8519
Titre abrégé: Bioethics
Pays: England
ID NLM: 8704792
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
30
01
2018
accepted:
17
06
2018
pubmed:
15
8
2018
medline:
4
12
2019
entrez:
15
8
2018
Statut:
ppublish
Résumé
Self-admission to inpatient treatment is a novel approach that aims to increase agency and autonomy for patients with severe psychiatric illness and a history of high utilization of inpatient care. By focusing on brief, preventive hospital admissions in times of increased risk of relapse, self-admission seeks to reduce the need for prolonged episodes of inpatient treatment. Participants are generally satisfied with the model, which is not surprising given that self-admission programs allocate a scarce resource-hospital beds-to a select group. However, the patients targeted by these programs are not necessarily those in most need of hospital admission, which may compromise the commonly accepted 'principle of need' in allocation of public healthcare resources. In light of the current lack of consistent evidence of the usefulness and cost-effectiveness of the model, several aspects need to be further studied in order to guide any large-scale implementation of self-admission in psychiatry.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
132-137Informations de copyright
© 2018 John Wiley & Sons Ltd.