Cargando…
Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process
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 nominat...
Autores principales: | , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8780043/ https://www.ncbi.nlm.nih.gov/pubmed/35064234 http://dx.doi.org/10.1038/s41380-021-01435-0 |
_version_ | 1784637732314677248 |
---|---|
author | 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 |
author_facet | 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 |
author_sort | Mundt, Adrian P. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8780043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-87800432022-01-24 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 Mol Psychiatry Perspective 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. Nature Publishing Group UK 2022-01-21 2022 /pmc/articles/PMC8780043/ /pubmed/35064234 http://dx.doi.org/10.1038/s41380-021-01435-0 Text en © The Author(s), under exclusive licence to Springer Nature Limited 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Perspective 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 Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process |
title | Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process |
title_full | Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process |
title_fullStr | Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process |
title_full_unstemmed | Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process |
title_short | Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process |
title_sort | minimum and optimal numbers of psychiatric beds: expert consensus using a delphi process |
topic | Perspective |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8780043/ https://www.ncbi.nlm.nih.gov/pubmed/35064234 http://dx.doi.org/10.1038/s41380-021-01435-0 |
work_keys_str_mv | AT mundtadrianp minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT rozasserrienzo minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT irarrazavalmatias minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT oreillyrichard minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT allisonstephen minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT bastiampillaitarun minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT musisiseggane minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT kageeashraf minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT golenkovandrei minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT elkhouryjoseph minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT parkseoncheol minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT chwastiaklydia minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess AT priebestefan minimumandoptimalnumbersofpsychiatricbedsexpertconsensususingadelphiprocess |