Back to Search
Start Over
Substantial hospital level variation in all-cause readmission rates among medicare beneficiaries with serious mental illness
- Source :
- Healthc (Amst)
- Publication Year :
- 2020
-
Abstract
- BACKGROUND: Patients with serious mental illness (i.e., SMI; bipolar disorder, major depressive disorder, and schizophrenia) are at increased risk of readmission, yet little is known about the extent to which readmission rates among these patients vary across hospitals. The purpose of this study was to examine the variation across hospitals in readmissions for patients with SMI and differences in the characteristics of hospitals with the highest and lowest adjusted readmission rates. METHODS: We conducted a cross-sectional analysis of pooled inpatient claims from 2013–2016. Mixed logit models with hospital random effects were used to estimate the hospital-level variance. The sample included patients with SMI from a 5% sample of fee-for-service Medicare beneficiaries. RESULTS: We identified 2,066 hospitals with at least 30 index admissions for Medicare beneficiaries with SMI. In multivariate analyses, factors most strongly associated with increased risk of readmission included substance use disorder (OR 2.311; p
- Subjects :
- Male
Multivariate analysis
Medicare
Patient Readmission
Article
03 medical and health sciences
0302 clinical medicine
mental disorders
medicine
Humans
030212 general & internal medicine
Bipolar disorder
Aged
Aged, 80 and over
business.industry
Health Policy
Mental Disorders
Medicare beneficiary
Middle Aged
medicine.disease
Mental illness
Random effects model
Hospitals
United States
Substance abuse
Hospitalization
Cross-Sectional Studies
Logistic Models
Schizophrenia
Major depressive disorder
Female
business
030217 neurology & neurosurgery
Demography
Subjects
Details
- ISSN :
- 22130772
- Volume :
- 8
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Healthcare (Amsterdam, Netherlands)
- Accession number :
- edsair.doi.dedup.....4c4047f9f593322232792418fa79687c