The Relationship of Illness Management and Recovery to State Hospital Readmission
The Relationship of Illness Management and Recovery to State Hospital Readmission
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DOI：
10.1097/nmd.0000000000000177
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发表时间：
2014-09-01
影响因子：
1.9
通讯作者：
Zechner, Michelle
中科院分区：
文献类型：
--
作者：
Bartholomew, Tom;Zechner, Michelle
目前的研究检查了参加疾病管理和恢复（IMR）计划的小时数与从州立精神病医院出院后的精神病再入院率之间的关系。这项研究使用了来自美国东北部一家大型州立精神病医院的档案数据，N = 1186。进行考克斯回归生存分析，调整极端离群值并控制社会人口统计学协变量，以检查不同IMR量与返回医院风险之间的关联。在控制了患者的年龄、性别、婚姻状况、精神病诊断和出院时的总体功能评估评分等特征，以及控制了一般医院规划的平均日剂量和住院天数后，发现IMR每小时，返回医院的风险降低1.1%。这表明，在住院期间参与IMR可能有助于降低个人返回医院的风险。
The current study examined the association between number of hours attended of the Illness Management and Recovery (IMR) program and psychiatric readmission rates after discharge from a state psychiatric hospital. The study used archival data, N = 1186, from a large northeastern state psychiatric hospital in the United States. A Cox's regression survival analyses was conducted, adjusting for extreme outliers and controlling for sociodemographic covariates, to examine the association between different amounts of IMR and the risk for returning to the hospital. After controlling for the client characteristics of age, sex, marital status, psychiatric diagnosis, and Global Assessment of Functioning score at discharge, as well as controlling for mean daily dose of generic hospital programming and the number of days of hospitalization, it was found that, for each hour of IMR, there was an associated 1.1% reduction in the risk for returning to the hospital. This suggests that participation in IMR while in inpatient settings may assist individuals in reducing their risk for returning to the hospital.