Impact of involuntary out-patient commitment on reducing hospital services: 2-year follow-up
| Autor: | Miguel Hernández-Viadel, Carlos Cañete-Nicolás, Carmen Bellido-Rodríguez, Roman Calabuig-Crespo, Jesús Jiménez-Martos, Pedro Asensio-Pascual, Laura Castells-Aulet, Guillem Lera-Calatayud |
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| Rok vydání: | 2015 |
| Předmět: |
Current Practice
medicine.medical_specialty business.industry medicine.disease 030227 psychiatry Mental healthcare stomatognathic diseases 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine nervous system Emergency medicine medicine In patient 030212 general & internal medicine Medical emergency business Hospital stay |
| Zdroj: | BJPsych Bulletin |
| ISSN: | 2056-4708 2056-4694 |
| DOI: | 10.1192/pb.bp.114.047464 |
| Popis: | Aims and methodTo evaluate whether involuntary out-patient commitment (OPC) in patients with severe mental disorder reduces their use of hospital services. This is a retrospective case-control study comparing a group of patients on OPC (n = 75) and a control group (n = 75) which was composed of patients whose sociodemographic variables and clinical characteristics were similar to those of the OPC group. Each control case is paired with an OPC case, so the control case must have an involuntary admission in the month that the index OPC case admission occurred. Emergency room visits, admissions and average length of hospital stay over a 2-year follow-up after the initiation of OPC were compared.ResultsNo statistically significant evidence was found in the use of mental healthcare services between the two groups. Different reasons for admission found between the groups limit similarity when comparing the two.Clinical implicationsThe findings cast doubt over the effectiveness of this legal measure to reduce emergency visits, the number of admissions and the length of stay in the hospital. |
| Databáze: | OpenAIRE |
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