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Institution and Outcome: A Comparative Study of Psychiatric Hospitals.

Edward A. Walpert, MD, PhD
Arch Gen Psychiatry. 1968;19(3):382-383. doi:10.1001/archpsyc.1968.01740090126019.
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The present volume represents a landmark in the study of the psychiatric hospital. With very sophisticated statistical techniques the author investigated 30 VA hospitals, correlating treatment effectiveness as measured by number of patients quickly returned to the community or by number of patients remaining in the hospital longer than two years, with such hospital structural characteristics as size, staffing in terms of numbers and types of personnel, presence of training, research, or family care programs, and a host of other factors.

In studying two major criteria of hospital effectiveness, a high early release rate and fewer long-term psychiatric patients, Ullmann found that when staffing is held constant, small size of the hospital is significantly associated with high early release rate; when size is held constant, high staffing is significantly associated with fewer long-term psychiatric patients. Interestingly, the presence of training programs


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