The Effectiveness of Discharge Planning for Psychiatric Inpatients With Varying Levels of Preadmission Engagement in Care.
The Effectiveness of Discharge Planning for Psychiatric Inpatients With Varying Levels of Preadmission Engagement in Care.
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DOI：
10.1176/appi.ps.202000863
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发表时间：
2022-02-01
期刊：
影响因子：
--
通讯作者：
Olfson M
中科院分区：
文献类型：
--
作者：
Smith TE;Haselden M;Corbeil T;Wall MM;Tang F;Essock SM;Frimpong E;Goldman ML;Mascayano F;Radigan M;Schneider M;Wang R;Rodgers I;Dixon LB;Olfson M
本研究探讨精神科住院病人院前治疗投入与院后后续治疗之间的关系，以及住院病人出院计划对院后后续治疗的影响是否因治疗前投入程度的不同而有所不同。纽约州医疗补助和其他行政数据库被用来检查2012-2013年住院精神护理后出院的18,793名成年患者的服务使用情况。结果包括在出院后7天和30天内接受门诊精神卫生服务。样本是根据患者在入院前6个月内对门诊精神科服务的参与度高、部分、低或没有进行分层。将门诊预约安排为患者出院计划的一部分与门诊精神科预约显著相关，无论患者在入院前参与护理的水平如何。在入院前6个月内未接受过任何门诊治疗的患者中，差异最为显著。当安排预约时，这些患者在7天内接受护理的可能性是3倍，在30天内进行随访的可能性是30天内的两倍以上。精神科住院患者接受门诊精神科护理的可能性与他们入院前的门诊护理参与度直接相关，但即使在那些没有从事过门诊护理的人中，住院计划也与接受门诊随访的可能性更大相关。
This study examined the extent to which pre-hospital treatment engagement is related to post-hospital follow-up treatment among psychiatric inpatients and whether the effects of inpatient discharge planning on post-hospital follow-up treatment vary by level of pretreatment engagement in care. New York State Medicaid and other administrative databases were used to examine service use by 18,793 adult patients discharged to the community following inpatient psychiatric care in 2012–2013. Outcomes included attending an outpatient mental health service within 7- and 30-days following discharge. The sample was stratified based upon whether patients had high, partial, low, or no engagement in outpatient psychiatric services in the 6 months prior to admission. Scheduling an outpatient appointment as part of the patient’s discharge plan was significantly associated with attending outpatient psychiatric appointments, regardless of the patient’s level of engagement in care prior to admission. The differences were most pronounced in group of patients who had not received any outpatient care in the 6 months prior to admission. When an appointment was scheduled, these patients were 3 times more likely to follow-up with care within 7 days and over twice as likely to follow-up within 30 days. The likelihood of psychiatric inpatients following up with outpatient psychiatric care was directly related to their level of outpatient care engagement prior to hospital admission, but even among those who had not been engaged in outpatient care, inpatient discharge planning was associated with a greater likelihood of receiving follow-up outpatient care.
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DOI：
10.1016/j.jaac.2011.12.003
发表时间：
2012-03-01
影响因子：
13.3
作者：
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通讯作者：
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影响因子：
17.7
作者：
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影响因子：
5.3
作者：
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影响因子：
3.8
作者：
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通讯作者：
Stukel, Therese
影响因子：
10.5
作者：
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通讯作者：
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