Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature
| Autor: | M Ciutan, Simona Musat, G. Scintee, C Vladescu, Heinz Katschnig, Kristian Wahlbeck, Raluca Sfetcu, Peija Haaramo |
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| Rok vydání: | 2016 |
| Předmět: |
Hospitals
Psychiatric medicine.medical_specialty Ovid medline Contextual factors Post discharge lcsh:RC435-571 Aftercare PsycINFO Patient Readmission Social support 03 medical and health sciences 0302 clinical medicine Community care Predictive Value of Tests lcsh:Psychiatry medicine Humans 030212 general & internal medicine Psychiatry Related factors Post-discharge factors System responsiveness Health management system Recidivism business.industry Mental Disorders Vulnerability factors Patient Discharge 030227 psychiatry 3. Good health Psychiatry and Mental health Systematic review business Readmission Research Article |
| Zdroj: | BMC Psychiatry BMC Psychiatry, Vol 17, Iss 1, Pp 1-15 (2017) |
| ISSN: | 1471-244X |
| Popis: | Background High levels of hospital readmission (rehospitalisation rates) is widely used as indicator of a poor quality of care. This is sometimes also referred to as recidivism or heavy utilization. Previous studies have examined a number of factors likely to influence readmission, although a systematic review of research on post-discharge factors and readmissions has not been conducted so far. The main objective of this review was to identify frequently reported post-discharge factors and their effects on readmission rates. Methods Studies on the association between post-discharge variables and readmission after an index discharge with a main psychiatric diagnosis were searched in the bibliographic databases Ovid Medline, PsycINFO, ProQuest Health Management, OpenGrey and Google Scholar. Relevant articles published between January 1990 and June 2014 were included. A systematic approach was used to extract and organize in categories the information about post-discharge factors associated with readmission rates. Results Of the 760 articles identified by the initial search, 80 were selected for this review which included a total number of 59 different predictors of psychiatric readmission. Subsequently these were grouped into four categories: 1) individual vulnerability factors, 2) aftercare related factors, 3) community care and service responsiveness, and 4) contextual factors and social support. Individual factors were addressed in 58 papers and were found to be significant in 37 of these, aftercare factors were significant in 30 out of the 45 papers, community care and social support factors were significant in 21 out of 31 papers addressing these while contextual factors and social support were significant in all seven papers which studied them. Conclusions This review represents a first attempt at providing an overview of post-discharge factors previously studied in association with readmission. Hence, by mapping out the current research in the area, it highlights the gaps in research and it provides guidance future studies in the area. Electronic supplementary material The online version of this article (doi:10.1186/s12888-017-1386-z) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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