Rehospitalization of Psychiatric Patients in a Managed Care Environment
UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
2000-12-01Keywords
HospitalizationPatient Readmission
Mentally Ill Persons
Outcome Assessment (Health Care)
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
This study examined predictors of readmission to a general hospital psychiatric unit that provided acute inpatient care. Participants were 370 patients admitted to the inpatient unit over a 15-month period. During this period, 105 (28%) patients were readmitted to the unit. Readmitted patients were compared to patients who were not readmitted on (a) symptom improvement during hospitalization, (b) psychosocial and clinical variables, and (c) length of hospitalization. The readmitted patients presented with levels of psychological symptoms similar to those of patients who were not readmitted. Moreover, readmitted patients and patients who were not readmitted reported comparable relief in symptom severity during hospitalization. Readmitted patients were more likely to have at least one previous psychiatric hospitalization, be unemployed, be participating in day treatment, and receiving medicare and social security disability insurance. Rehospitalization is a significant problem and the patients' self-reported symptomatology is not a major determinant of readmission for inpatient treatment.Source
Moran, P. W., Doerfler, L. A., Scherz, J., & Lish, J. D. (2000). Rehospitalization of psychiatric patients in a managed care environment. Mental Health Services Research , 2(4), 191-198. DOI 10.1023/A:1010108402722
DOI
10.1023/A:1010108402722Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45452ae974a485f413a2113503eed53cd6c53
10.1023/A:1010108402722