@article{oai:nagoya.repo.nii.ac.jp:00024629,
 author = {Takahashi, Kunihiko and Tachimori, Hisateru and Kan, Chiemi and Nishi, Daisuke and Okumura, Yasuyuki and Kato, Naohiro and Takeshima, Tadashi},
 issue = {4},
 journal = {PSYCHIATRY AND CLINICAL NEUROSCIENCES},
 month = {Apr},
 note = {Aim: The aim of our study was to clarify the geographical movement of patients treated in psychiatric facilities, which can provide important information on the resources and health-care system of psychiatric services. Methods: We conducted an analysis of nationwide data on psychiatric patients, collected as an additional survey to the conventional ‘630 survey’ in 2014. For the 151 848 initially admitted inpatients during 6 months and the 144 401 outpatients on a specific day, we identified whether a patient was admitted to a psychiatric facility located in the same medical area as his/her residence. We estimated percentages of being from (i) within the medical area, (ii) within the prefecture, and (iii) outside the prefecture, using a Bayesian statistical approach for each secondary medical area. Results: The inpatients moved across wider areas than did the outpatients. Almost all inpatients and outpatients received their medical treatment at hospitals/clinics within their prefecture of residence. Conclusion: The current mental health medical system in Japan has been operating according to prefecture unit; thus, it may be appropriate to plan a medical system at a prefectural level.},
 pages = {254--261},
 title = {Spatial analysis for regional behavior of patients with mental disorders in Japan},
 volume = {71},
 year = {2017}
}