Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators.
Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators.
复制标题
预测管理式护理环境中精神病医院的重新入院：对质量指标的影响。
DOI：
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复制
发表时间：
1997
影响因子：
17.7
通讯作者：
F. Miller
中科院分区：
文献类型：
--
作者：
J. Lyons;M. O'Mahoney;S. Miller;Janice Neme;J. Kabat;F. Miller
客观的
OBJECTIVE
This study examined predictors of hospital readmission to determine whether readmissions can serve as a quality indicator for an inpatient psychiatric service.
METHOD
A series of 255 patients consecutively admitted to any of seven psychiatric hospitals in a regional managed care program were followed to determine whether they were readmitted within 6 months of discharge. Case managers assessed patients with the use of a reliable outcome management/decision support system designed for acute psychiatric services.
RESULTS
Patients with greater impairment in self-care, more severe symptoms, and more persistent illnesses were more likely to be readmitted than other patients. Suicidal patients were less likely to be readmitted. There was no evidence to suggest that poor hospital outcome or premature discharge was associated with readmission either within 30 days or within 6 months.
CONCLUSIONS
Although patients at risk for hospital admission can be identified, it does not appear that the success of the hospital intervention per se influences the likelihood of readmission. Use of readmission rates as quality indicators for hospital care providers is not recommended.
预测精神分裂症、情感分裂和情感障碍患者的“旋转门”现象。
DOI：
10.1176/ajp.152.6.856
发表时间：
1995
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Haywood,TW;Kravitz,HM;Grossman,LS;CavanaughJr,JL;Davis,JM;Lewis,DA
通讯作者：
Lewis,DA