| Autor: |
Pirraglia PA, Kilbourne AM, Lai Z, Friedmann PD, O'Toole TP, Pirraglia, Paul A, Kilbourne, Amy M, Lai, Zongshan, Friedmann, Peter D, O'Toole, Thomas P |
| Zdroj: |
Psychiatric Services; May2011, Vol. 62 Issue 5, p554-557, 4p |
| Abstrakt: |
Objective: This study examined whether veterans with serious mental illness in mental health settings with colocated general medical care had fewer hospitalizations for ambulatory care-sensitive conditions than veterans in other settings.Methods: Using 2007 data, the study examined hospitalizations for ambulatory care-sensitive conditions with zero-inflated negative binomial regression controlling for demographic, clinical, and facility characteristics.Results: Of 92,268 veterans with serious mental illness, 9,662 (10.5%) received care at ten sites with colocated care and 82,604 (89.5%) at 98 sites without it. At sites without colocation, 5.1% had a hospitalization for an ambulatory care-sensitive condition, compared with 4.3% at sites with colocation. Attendance at sites with colocated care was associated with an adjusted count of hospitalizations of .76 compared with attendance at sites with no colocation (β=-.28, 95% confidence interval=.47 to -.09, p=.004).Conclusions: Colocation of general medical services in the mental health setting was associated with significantly fewer preventable hospitalizations. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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