Jämtland Västernorrland Kronoberg Uppsala Sörmland Stockholm Västra Götaland Värmland Norrbotten SWEDEN Skåne Blekinge Gävleborg Västmanland Gotland Östergötland Västerbotten Örebro Halland Dalarna Jönköping Kalmar
1 009 1 685 1 949 2 002 2 030 2 055 2 107 2 138 2 162 2 169 2 190 2 213 2 252 2 252 2 285 2 342 2 366 2 370 2 401 2 493 2 640 2 947 0
1 000
2 000
Inhabitants with previous psychiatric care
Figure 135
All inhabitants
3 000
4 000
5 000
Cases per 100 000 inhabitants
Number of people age 20-59 with avoidable inpatient medical care events and previous psychiatric care per 100 000 inhabitants, 2011. Age-standardised. Source: National Patient Register, National Board of Health and Welfare
The figure present the number of 20–59 year-olds who were hospitalised at some point in 2006–2010 for a psychiatric diagnosis and subsequently had at least one avoidable inpatient medical care event. A total of 2 551 people (2 169 per 100 000 inhabitants) hospitalised for a psychiatric diagnosis had such a care event in 2011. For the population as a whole, 455 per 100 000 inhabitants had such avoidable hospitalisations. The nationwide proportion rose somewhat from the previous year. People who were hospitalised for a psychiatric diagnosis faced a considerably higher risk of an avoidable inpatient medical care event in the future. Among the reasons may be that the disease was detected later, treatment took longer and patients were not as good at complying with their regimens. In addition, this patient population has a greater frequency of lifestyle risk factors. Generally speaking, men had more avoidable care events than women. The likeliest explanation is that men develop some of the main types of psychiatric disorders more often, rather than that they are not treated as effectively as outpatients. People with a serious psychological disturbance who have difficulty complying with medical outpatient care may be hospitalised instead. The reasons that patients with a psychiatric diagnosis are more likely to receive inpatient medical care deserve further study.
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QUALITY AND EFFICIENCY IN SWEDISH HEALTH CARE 2012