Skip to main content
Top
Published in: Community Mental Health Journal 1/2010

01-02-2010 | Brief Report

The Impact of the Chi-Chi Earthquake on the Incidence of Hospitalizations for Schizophrenia and on Concomitant Hospital Choice

Authors: Kuan-Chiao Tseng, David Hemenway, Ichiro Kawachi, S. V. Subramanian, Wei J. Chen

Published in: Community Mental Health Journal | Issue 1/2010

Login to get access

Abstract

This study aimed to evaluate the impact of a catastrophic earthquake on the incidence of hospitalizations for schizophrenia, and on the choice of hospitals for patients thus hospitalized, using a quasi-experimental design. Results demonstrated post-catastrophe increases in the incidence of hospitalizations for schizophrenia by 11.0 and 21.6% in the first and second year after the disaster, respectively. Among index hospitalizations for schizophrenia, the earthquake was associated with decreases in the use of teaching and public hospitals. For patients with schizophrenia, aggravation of symptoms and the likelihood of being crowded out of the use of health care services by those with other physical or mental illnesses after a catastrophe warrant our attention.
Literature
go back to reference Calderon-Abbo, J. (2008). The long road home: Rebuilding public inpatient psychiatric services in post-Katrina New Orleans. Psychiatric Services, 59(3), 304–309.CrossRefPubMed Calderon-Abbo, J. (2008). The long road home: Rebuilding public inpatient psychiatric services in post-Katrina New Orleans. Psychiatric Services, 59(3), 304–309.CrossRefPubMed
go back to reference Charlson, M., Szatrowski, T. P., Peterson, J., & Gold, J. (1994). Validation of a combined comorbidity index. Journal of Clinical Epidemiology, 47(11), 1245–1251.CrossRefPubMed Charlson, M., Szatrowski, T. P., Peterson, J., & Gold, J. (1994). Validation of a combined comorbidity index. Journal of Clinical Epidemiology, 47(11), 1245–1251.CrossRefPubMed
go back to reference Chen, C. C., Yeh, T. L., Yang, Y. K., Chen, S. J., Lee, I. H., Fu, L. S., et al. (2001). Psychiatric morbidity and post-traumatic symptoms among survivors in the early stage following the 1999 earthquake in Taiwan. Psychiatry Research, 105(1–2), 13–22.CrossRefPubMed Chen, C. C., Yeh, T. L., Yang, Y. K., Chen, S. J., Lee, I. H., Fu, L. S., et al. (2001). Psychiatric morbidity and post-traumatic symptoms among survivors in the early stage following the 1999 earthquake in Taiwan. Psychiatry Research, 105(1–2), 13–22.CrossRefPubMed
go back to reference Chou, Y. J., Huang, N., Lee, C. H., Tsai, S. L., Chen, L. S., & Chang, H. J. (2004). Who is at risk of death in an earthquake? American Journal of Epidemiology, 160(7), 688–695.CrossRefPubMed Chou, Y. J., Huang, N., Lee, C. H., Tsai, S. L., Chen, L. S., & Chang, H. J. (2004). Who is at risk of death in an earthquake? American Journal of Epidemiology, 160(7), 688–695.CrossRefPubMed
go back to reference Cook, T. D., & Campbell, D. T. (1979). Quasi-experimentation: Design and analysis issues for field settings. Chicago: Rand McNally. Cook, T. D., & Campbell, D. T. (1979). Quasi-experimentation: Design and analysis issues for field settings. Chicago: Rand McNally.
go back to reference Department of Health. (1999). Plan of medical reconstruction post-921 earthquake. Taipei, Taiwan: Author. Department of Health. (1999). Plan of medical reconstruction post-921 earthquake. Taipei, Taiwan: Author.
go back to reference Department of Health. (2000a). The post-9/21 earthquake reconstruction achievement for health care services. Taipei, Taiwan: Author. Department of Health. (2000a). The post-9/21 earthquake reconstruction achievement for health care services. Taipei, Taiwan: Author.
go back to reference Department of Health. (2000b). The report of damages of health services in main-damage areas during the 9/21 earthquake. Taipei, Taiwan: Author. Department of Health. (2000b). The report of damages of health services in main-damage areas during the 9/21 earthquake. Taipei, Taiwan: Author.
go back to reference Department of Interior. (1999). Losses caused by natural disasters. Taipei, Taiwan: Author. Department of Interior. (1999). Losses caused by natural disasters. Taipei, Taiwan: Author.
go back to reference Druss, B. G., Henderson, K. L., & Rosenheck, R. A. (2007). Swept away: Use of general medical and mental health services among veterans displaced by Hurricane Katrina. American Journal of Psychiatry, 164(1), 154–156.CrossRefPubMed Druss, B. G., Henderson, K. L., & Rosenheck, R. A. (2007). Swept away: Use of general medical and mental health services among veterans displaced by Hurricane Katrina. American Journal of Psychiatry, 164(1), 154–156.CrossRefPubMed
go back to reference Figueroa, R., Harman, J., & Engberg, J. (2004). Use of claims data to examine the impact of length of inpatient psychiatric stay on readmission rate. Psychiatric Services, 55(5), 560–565.CrossRefPubMed Figueroa, R., Harman, J., & Engberg, J. (2004). Use of claims data to examine the impact of length of inpatient psychiatric stay on readmission rate. Psychiatric Services, 55(5), 560–565.CrossRefPubMed
go back to reference Gard, B. A., & Ruzek, J. I. (2006). Community mental health response to crisis. Journal of Clinical Psychology, 62(8), 1029–1041.CrossRefPubMed Gard, B. A., & Ruzek, J. I. (2006). Community mental health response to crisis. Journal of Clinical Psychology, 62(8), 1029–1041.CrossRefPubMed
go back to reference Horan, W. P., Ventura, J., Mintz, J., Kopelowicz, A., Wirshing, D., Christian-Herman, J., et al. (2007). Stress and coping responses to a natural disaster in people with schizophrenia. Psychiatry Research, 151(1–2), 77–86.CrossRefPubMed Horan, W. P., Ventura, J., Mintz, J., Kopelowicz, A., Wirshing, D., Christian-Herman, J., et al. (2007). Stress and coping responses to a natural disaster in people with schizophrenia. Psychiatry Research, 151(1–2), 77–86.CrossRefPubMed
go back to reference Hsu, C. C., Chong, M. Y., Yang, P., & Yen, C. F. (2002). Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. Journal of the American Academy of Child and Adolescent Psychiatry, 41(7), 875–881.CrossRefPubMed Hsu, C. C., Chong, M. Y., Yang, P., & Yen, C. F. (2002). Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. Journal of the American Academy of Child and Adolescent Psychiatry, 41(7), 875–881.CrossRefPubMed
go back to reference Kuo, C. J., Tang, H. S., Tsay, C. J., Lin, S. K., Hu, W. H., & Chen, C. C. (2003). Prevalence of psychiatric disorders among bereaved survivors of a disastrous earthquake in Taiwan. Psychiatric Services, 54(2), 249–251.CrossRefPubMed Kuo, C. J., Tang, H. S., Tsay, C. J., Lin, S. K., Hu, W. H., & Chen, C. C. (2003). Prevalence of psychiatric disorders among bereaved survivors of a disastrous earthquake in Taiwan. Psychiatric Services, 54(2), 249–251.CrossRefPubMed
go back to reference Lee, C. H., & Chou, Y. J. (2000). The impact of Chi-Chi earthquake on health service utilization. Taipei, Taiwan: Bureau of National Health Insurance. Lee, C. H., & Chou, Y. J. (2000). The impact of Chi-Chi earthquake on health service utilization. Taipei, Taiwan: Bureau of National Health Insurance.
go back to reference Mack, D., Brantley, K. M., & Bell, K. G. (2007). Mitigating the health effects of disasters for medically underserved populations: Electronic health records, telemedicine, research, screening, and surveillance. Journal of Health Care for the Poor and Underserved, 18(2), 432–442.CrossRefPubMed Mack, D., Brantley, K. M., & Bell, K. G. (2007). Mitigating the health effects of disasters for medically underserved populations: Electronic health records, telemedicine, research, screening, and surveillance. Journal of Health Care for the Poor and Underserved, 18(2), 432–442.CrossRefPubMed
go back to reference Newhouse, J. (1993). Free for all? Lessons from the RAND health insurance experiment (pp. 39, 436). Cambridge MA: Harvard University Press. Newhouse, J. (1993). Free for all? Lessons from the RAND health insurance experiment (pp. 39, 436). Cambridge MA: Harvard University Press.
go back to reference Nuechterlein, K. H., & Dawson, M. E. (1984). A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia Bulletin, 10(2), 300–312.PubMed Nuechterlein, K. H., & Dawson, M. E. (1984). A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia Bulletin, 10(2), 300–312.PubMed
go back to reference Schneeweiss, S., & Maclure, M. (2000). Use of comorbidity scores for control of confounding in studies using administrative databases. International Journal of Epidemiology, 29(5), 891–898.CrossRefPubMed Schneeweiss, S., & Maclure, M. (2000). Use of comorbidity scores for control of confounding in studies using administrative databases. International Journal of Epidemiology, 29(5), 891–898.CrossRefPubMed
go back to reference Schnurr, P. P., Lunney, C. A., Sengupta, A., & Waelde, L. C. (2003). A descriptive analysis of PTSD chronicity in Vietnam veterans. Journal of Traumatic Stress, 16(6), 545–553.CrossRefPubMed Schnurr, P. P., Lunney, C. A., Sengupta, A., & Waelde, L. C. (2003). A descriptive analysis of PTSD chronicity in Vietnam veterans. Journal of Traumatic Stress, 16(6), 545–553.CrossRefPubMed
go back to reference Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin. Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin.
go back to reference Subotnik, K. L., & Nuechterlein, K. H. (1988). Prodromal signs and symptoms of schizophrenic relapse. Journal of Abnormal Psychology, 97(4), 405–412.CrossRefPubMed Subotnik, K. L., & Nuechterlein, K. H. (1988). Prodromal signs and symptoms of schizophrenic relapse. Journal of Abnormal Psychology, 97(4), 405–412.CrossRefPubMed
go back to reference Tseng, K. C., Hemenway, D., Kawachi, I., Subramanian, S. V., & Chen, W. J. (2008). Travel distance and the use of inpatient care among patients with schizophrenia. Administration and Policy In Mental Health, 35(5), 346–356.CrossRefPubMed Tseng, K. C., Hemenway, D., Kawachi, I., Subramanian, S. V., & Chen, W. J. (2008). Travel distance and the use of inpatient care among patients with schizophrenia. Administration and Policy In Mental Health, 35(5), 346–356.CrossRefPubMed
go back to reference Wang, P. S., Gruber, M. J., Powers, R. E., Schoenbaum, M., Speier, A. H., Wells, K. B., et al. (2007). Mental health service use among hurricane Katrina survivors in the eight months after the disaster. Psychiatric Services, 58(11), 1403–1411.CrossRefPubMed Wang, P. S., Gruber, M. J., Powers, R. E., Schoenbaum, M., Speier, A. H., Wells, K. B., et al. (2007). Mental health service use among hurricane Katrina survivors in the eight months after the disaster. Psychiatric Services, 58(11), 1403–1411.CrossRefPubMed
go back to reference Wang, P. S., Gruber, M. J., Powers, R. E., Schoenbaum, M., Speier, A. H., Wells, K. B., et al. (2008). Disruption of existing mental health treatments and failure to initiate new treatment after Hurricane Katrina. American Journal of Psychiatry, 165(1), 34–41.CrossRefPubMed Wang, P. S., Gruber, M. J., Powers, R. E., Schoenbaum, M., Speier, A. H., Wells, K. B., et al. (2008). Disruption of existing mental health treatments and failure to initiate new treatment after Hurricane Katrina. American Journal of Psychiatry, 165(1), 34–41.CrossRefPubMed
go back to reference Yang, Y. K., Yeh, T. L., Chen, C. C., Lee, C. K., Lee, I. H., Lee, L. C., et al. (2003). Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. General Hospital Psychiatry, 25(4), 253–261.CrossRefPubMed Yang, Y. K., Yeh, T. L., Chen, C. C., Lee, C. K., Lee, I. H., Lee, L. C., et al. (2003). Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. General Hospital Psychiatry, 25(4), 253–261.CrossRefPubMed
Metadata
Title
The Impact of the Chi-Chi Earthquake on the Incidence of Hospitalizations for Schizophrenia and on Concomitant Hospital Choice
Authors
Kuan-Chiao Tseng
David Hemenway
Ichiro Kawachi
S. V. Subramanian
Wei J. Chen
Publication date
01-02-2010
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 1/2010
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-009-9267-7

Other articles of this Issue 1/2010

Community Mental Health Journal 1/2010 Go to the issue