Abstract:
OBJECTIVE:Multiple barriers to quality health care may affect the outcomes of postacute treatment for individuals with serious mental illness (SMI). This study examined rehospitalization for medical and surgical inpatients with and without a comorbid diagnosis of SMI which included psychotic disorders, bipolar disorder and major depression. METHODS:We examined hospital discharge records for medical and surgical inpatients from a large urban health system. Descriptive statistics and logistic regression models compared 7-, 30-, 60-, 90- and 180-day rehospitalization among medical and surgical inpatients with SMI (n=3221) and without an SMI diagnosis (n=70,858). RESULTS:Within 6 months following discharge, hospitalized medical patients without an SMI diagnosis (34.3%) and with an SMI diagnosis (43.4%) were rehospitalized (P<.001), while surgical patients without an SMI diagnosis (20.3%) and with an SMI diagnosis (30.0%) were rehospitalized (P<.001). Odds of rehospitalization among medical patients were 1.5 to 2.4 times higher for those with an SMI diagnosis compared to those without an SMI diagnosis (P<.001). CONCLUSIONS:Medical patients with a comorbid psychotic or major mood disorder diagnosis have an increased likelihood of a medical rehospitalization as compared to those without a comorbid SMI diagnosis. These findings support prior literature and suggest the importance of identifying targeted interventions aimed at lowering the likelihood of rehospitalization among inpatients with a comorbid SMI diagnosis.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
Hanrahan NP,Bressi S,Marcus SC,Solomon Pdoi
10.1016/j.genhosppsych.2016.06.002subject
Has Abstractpub_date
2016-09-01 00:00:00pages
36-40eissn
0163-8343issn
1873-7714pii
S0163-8343(16)30134-7journal_volume
42pub_type
杂志文章abstract::This study examines the recognition and treatment of emotional distress in physically healthy primary care patients who perceive themselves to be in fair or poor physical health. Patients (N = 892) from three private primary care practices completed a mental health screening form prior to their medical visit which inc...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(95)00023-k
更新日期:1995-05-01 00:00:00
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
pub_type: 杂志文章,评审
doi:10.1016/0163-8343(92)90024-5
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abstract::Two patients with an acute organic brain syndrome and accompanying neurological symptoms are described. Extensive work up showed that both patients suffered from small-cell lung cancer. Cerebral metastases were absent. Following chemotherapy and radiotherapy to the primary tumor one of the two patients showed a comple...
journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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abstract::Prior literature suggested that psychiatric liaison on medical wards would produce a more positive attitude towards psychiatry, more psychosocial chart documentation, and a higher consultation request rate. Over 3 years, liaison was conducted on two medical wards, and its effect was contrasted with two control (consul...
journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(89)90050-9
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journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/0163-8343(92)90039-d
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
pub_type: 杂志文章
doi:10.1016/s0163-8343(98)00080-2
更新日期:1999-05-01 00:00:00
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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更新日期:1993-07-01 00:00:00
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pub_type: 杂志文章
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journal_title:General hospital psychiatry
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更新日期:2011-05-01 00:00:00
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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更新日期:1986-11-01 00:00:00