Byers E S, Cohen S, Harshbarger D D
Community Ment Health J. 1978 Spring;14(1):26-34. doi: 10.1007/BF00781308.
The subjects in this study were 129 patients released within a 2-year period from a large state hospital to a three-county area. Patient information on demographic, inhospital, and posthospital variables and the extent of participation in an aftercare program was collected from existing records. The relationship between the community support system available to the patient and recidivism was determined. Three criteria of recidivism were used: readmission within 1 year following discharge, number of days in the community within 1 year following discharge, and number of days to first readmission. No single predictor was adequate in predicting hospital readmission. When the effects of confounding variables were eliminated using multiple-regression techniques, the amount of aftercare received was an important factor in predicting recidivism. However, current situational factors appeared to be more important predictors of recidivism than receipt of aftercare services.
本研究的对象是在两年内从一家大型州立医院出院并进入一个三县地区的129名患者。从现有记录中收集了患者的人口统计学、住院期间、出院后变量以及参与后续护理计划的程度等信息。确定了患者可获得的社区支持系统与再入院之间的关系。使用了三个再入院标准：出院后1年内再次入院、出院后1年内社区居住天数以及首次再次入院的天数。没有单一的预测因素足以预测医院再入院情况。当使用多元回归技术消除混杂变量的影响时，接受后续护理的量是预测再入院的一个重要因素。然而，当前的情境因素似乎比接受后续护理服务更能预测再入院情况。
