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Risk of readmission in compulsorily and voluntarily admitted patients.
- Source :
- Social Psychiatry & Psychiatric Epidemiology; Nov2007, Vol. 42 Issue 11, p916-922, 7p, 3 Charts, 2 Graphs
- Publication Year :
- 2007
-
Abstract
- <bold>Objectives: </bold>The aim of this study is to examine relationships between hospital admission legal status (voluntary, psychiatrist-ordered, and court ordered), length of stay and risk of hospital readmission.<bold>Methods: </bold>The records (1994-2005) of all consecutive admissions (n = 16,016) to one inpatient mental health facility were reviewed. Patients (n = 6,656) were classified into 3 groups at first admission: voluntary (n = 5,442), psychiatrist-ordered (n = 1,067) and court ordered (n = 147).<bold>Results: </bold>The probability of readmission of the court-ordered and psychiatrist-ordered groups were significantly lower than that of voluntarily admitted patients (P < 0.05). The length of stay at first admission was significantly longer for the court-ordered group than for the others (P < 0.001). As compared with the other groups, court ordered-patients were significantly younger (P < 0.001), had attained fewer years of education (P < 0.001) and included a lower percentage of immigrants (P < 0.05). Significant differences were found in the mean morality age of the three groups (P < 0.005).<bold>Conclusions: </bold>As compared with psychiatrist-ordered and voluntarily admitted patients, court ordered patients have a lower probability for hospital readmission, possibly related to longer length of stay. [ABSTRACT FROM AUTHOR]
- Subjects :
- PSYCHIATRIC research
MENTAL illness
PSYCHIATRIC epidemiology
PATHOLOGICAL psychology
MENTAL health
HEALTH facilities
PHYSICIANS
MENTAL health facilities
MEDICAL care
ANALYSIS of variance
COMPARATIVE studies
LENGTH of stay in hospitals
HOSPITAL admission & discharge
INFORMATION storage & retrieval systems
MEDICAL databases
RESEARCH methodology
UTILIZATION review (Medical care)
MEDICAL cooperation
MEDICAL records
PATIENTS
PSYCHIATRIC hospitals
PSYCHOTHERAPY patients
LEGAL status of psychotherapy patients
REGRESSION analysis
RESEARCH
RISK assessment
EVALUATION research
INVOLUNTARY hospitalization
SEVERITY of illness index
PATIENT readmissions
Subjects
Details
- Language :
- English
- ISSN :
- 09337954
- Volume :
- 42
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Social Psychiatry & Psychiatric Epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 27875984
- Full Text :
- https://doi.org/10.1007/s00127-007-0243-7