Operating conditions of psychiatric hospitals and early readmission — effects of high patient turnover

Heggestad, Torhild

doi:10.1034/j.1600-0447.2001.00166.x

Cited by 42 publications

(54 citation statements)

References 19 publications

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“…The search identified over 455 primary studies of readmission published in the past decade, but only 13 of these focused on early readmission and met the other inclusion criteria-seven studies assessed predictors of readmission within 30 days, 25,16,[28][29][30][31][32] four within 60-90 days, [33][34][35][36] and two compared earlier and later readmission groups. 17,27 Two of the publications were based on the same study.…”

Section: Resultsmentioning

confidence: 99%

“…20,24 The influence of an index hospitalization on readmission diminishes as the period of follow-up increases and other factors come into play, such as cyclical course of mental illness, environmental stressors and access to formal and informal supports. 25 Second, the most commonly assessed predictors of readmission have been patient vulnerability and community support factors. The role of inpatient care (with the exception of length of stay) has been less frequently assessed.…”

mentioning

confidence: 99%

“…For this purpose, the authors sought studies of predictors of Bearly readmission^, that is, readmission within 30 to 90 days of discharge. 17,25 The authors also confined the search period to studies conducted within the last decade. Our specific goals were to: 1) Summarize results on readmission rates.…”

mentioning

confidence: 99%

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Is Readmission a Valid Indicator of the Quality of Inpatient Psychiatric Care?

Durbin

Lin

Layne

et al. 2007

J Behav Health Serv Res

144

127

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Early return to hospital is a frequently measured outcome in mental health system performance monitoring yet its validity for evaluating quality of inpatient care is unclear. This study reviewed research conducted in the last decade on predictors of early readmission (within 30 to 90 days of discharge) to assess the association between this indicator and quality of inpatient psychiatric care. Only 13 studies met inclusion criteria. Results indicated that risk is greatest in the 30-day period immediately after discharge. There was modest support that attending to stability of clinical condition and preparing patients for discharge can protect against early readmission. A history of repeated admission increases risk, suggesting that special efforts are required to break the revolving door cycle. The authors identified a need for more standardization in measurement of client status at discharge and related care processes, more intervention studies on discharge practices, and studies of the effect of community care on early readmission.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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Is Readmission a Valid Indicator of the Quality of Inpatient Psychiatric Care?

Durbin

Lin

Layne

et al. 2007

J Behav Health Serv Res

144

127

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“…Tilsvarende har aktiviteten ved psykiatriske institusjoner for voksne økt med 20-30% i form av flere utskrivninger (men kortere gjennomsnittlig oppholdstid) og flere polikliniske konsultasjoner. Reinnleggelser i psykiatriske sykehus er også analysert ved hjelp av data fra NPR (21).…”

Section: Helsetjenesteforskning Psykiatriunclassified

Norsk pasientregister: Administrativ database med mange forskningsmuligheter

m.fl¹

2009

Nor J Epidemiol

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SAMMENDRAGOpplysninger om alle sykehusinnleggelser og polikliniske konsultasjoner ved norske offentlige og private sykehus som er knyttet til ordningen med innsatsstyrt finansiering innhentes og administreres av Norsk pasientregister (NPR). Ventelistedata administreres også av NPR. Registeret eies av Helsedepartementet som også finansierer driften, og drives av forskningsinstituttet SINTEF Helse hvor NPR er en egen organisasjonsenhet. Ved all kontakt med sykehus registreres data om pasientens alder, kjønn og hjemstedskommune, om institusjon og avdeling, om diagnose(r) og operasjonsprosedyre(r), om dato for inn-og utskriving og om dato for eventuelle operasjoner/prosedyrer. Registeret inneholder ikke navn eller fødselsnummer, kun et pasientnummer som følger pasienten ved én institusjon innenfor ett kalenderår. Hovedformålet med datainnsamlingen er administrativt og knyttet til ordningen med Innsatsstyrt finansiering av sykehusdrift. Data fra NPR benyttes i studier av tilgjengelighet, kvalitet og ressursutnyttelse innen helsetjenesteforskningen og i epidemiologisk forskning. Vi gjør i denne artikkelen rede for hvordan data fra NPR benyttes innen forskning. ENGLISH SUMMARYThe Norwegian Patient Registry covers nearly all inpatient and outpatient hospital care in Norway. The registry is owned and funded by the Government and run by SINTEF Health Research, a non-profit research organization. Data on the patient's age, sex and residence, hospital and department, diagnose(s) and surgical procedure(s), dates of admission and discharge and date of procedure are included in the registry. The unique personal identification number that each Norwegian citizen has is not included. The funding of Norwegian hospitals is partly based on the activity at each institution, and the Norwegian Patient Registry was established mainly for administrative purposes. Data from the registry are also used in research on availability, quality and utilization of health service resources, and in epidemiological research. This paper describes how data from the Norwegian Patient Registry is utilized for research purposes. INNLEDNINGI Norsk Pasientregister (NPR) lagres informasjon om alle sykehusinnleggelser og polikliniske konsultasjoner ved norske offentlige og private sykehus. Dataene innhentes på vegne av Helsedepartementet med hjemmel i §5 i Lov om spesialisthelsetjenesten. Hvert år registreres omtrent én million innleggelser og tre millioner polikliniske besøk. Dette registeret gir enkel tilgang til informasjon om alle sykdomstilfeller som har krevd behandling ved en somatisk eller psykiatrisk institusjon i Norge.

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“…La edad que pudiera ser un factor de mayor riesgo en el mismo sentido descrito para el género tampoco resultó diferente en nuestra muestra, lo que confirma lo encontrado también en otras latitudes 4 , aunque en este punto en particular hay grupos que sí han reportado un mayor riesgo para jóvenes [15][16][17] , probablemente debido a las características de las poblaciones estudiadas.…”

Section: Discussionunclassified

Caracterización de las readmisiones precoces en la hospitalización psiquiátrica

et al. 2013

Rev. chil. neuro-psiquiatr.

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Introducción G ran parte de la patología psiquiátrica tiene curso crónico y recidivante, con frecuente necesidad de hospitalización. Los servicios de hospitalización psiquiátrica cuentan cada vez con menor número de camas, con estadías más breves, y se focalizan en el manejo de crisis agudas de la patología de base para un pronto retorno a la comunidad 1,2 pudiendo, en este contexto, ser más frecuentes las readmisiones hospitalarias. Se estima que las tasas de readmisión de los pacientes hospitalizados serían cerca de un 40-50% antes de un año desde el alta del hospital y que cerca del 50% de todos los pacientes que ingresan a psiquiatría ya han estado hospitalizados previamente 3 . En consideración de estos hechos incluso se ha planteado que las tasas de readmisiones, principalmente aquellas tempra-

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Operating conditions of psychiatric hospitals and early readmission — effects of high patient turnover

Abstract: High patient turnover at the discharging ward was found to increase the patients' hazard of early readmission. This observation supports the hypothesis of a link between the operation conditions of the hospitals and patient outcome on a short time-scale.

Cited by 42 publications

References 19 publications

Is Readmission a Valid Indicator of the Quality of Inpatient Psychiatric Care?

Is Readmission a Valid Indicator of the Quality of Inpatient Psychiatric Care?

Norsk pasientregister: Administrativ database med mange forskningsmuligheter

Caracterización de las readmisiones precoces en la hospitalización psiquiátrica

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