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退伍军人事务部精神医学系统中高利用率患者再住院的预测因素。

Predictors of rehospitalization in high-utilizing patients in the VA psychiatric medical system.

机构信息

Department of Veterans Affairs, Health Services Research and Development, Serious Mental Illness Treatment Research and Evaluation Center, PO Box 130170, Ann Arbor, MI 48113-0170, USA.

出版信息

Psychiatr Q. 2012 Mar;83(1):53-64. doi: 10.1007/s11126-011-9182-2.

Abstract

233 high-service-utilizing (HSU) psychiatric patients were recruited during an inpatient psychiatric treatment. They completed a questionnaire related to their treatment beliefs and were tracked via computerized medical records over 2 years. During the follow-up period, 79.8% were readmitted for additional inpatient psychiatric treatment. Survival analysis techniques were used to examine patients' rates of readmittance during the follow-up period. Number of previous year inpatient psychiatric days served as a significant predictor of readmittance status and time to readmission. The survival plot was split by previous-year inpatient days to examine the effect of this variable on readmission. Implications of findings are discussed.

摘要

233 名高服务利用率(HSU)精神病患者在住院精神病治疗期间被招募。他们完成了一份与治疗信念相关的问卷,并通过计算机化的医疗记录进行了为期 2 年的跟踪。在随访期间,79.8%的患者因额外的住院精神病治疗而再次入院。生存分析技术用于检查患者在随访期间再次入院的比率。前一年的住院精神病天数是再次入院状态和再次入院时间的显著预测指标。生存图按前一年的住院天数进行分割,以检查该变量对再次入院的影响。讨论了调查结果的意义。

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