Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness

被引：3

作者：

Germack, Hayley D. ^{[1
]}

Mahmoud, Khadejah ^{[2
]}

Cooper, Mandy ^{[1
]}

Vincent, Heather ^{[3
]}

Koller, Krista ^{[4
]}

Martsolf, Grant R. ^{[1
,5
]}

机构：

[1] Univ Pittsburgh, Sch Nursing, 3500 Victoria St 336 Victoria Bldg, Pittsburgh, PA 15261 USA

[2] Univ Pittsburgh, Grad Sch Publ Hlth, 130 De Soto St, Pittsburgh, PA 15261 USA

[3] Community Coll Allegheny Cty, 710 Duncan Ave, Pittsburgh, PA 15237 USA

[4] Univ Pittsburgh, Coll Gen Studies, 1400 Wesley W Posvar Hall 230 S Bouquet St, Pittsburgh, PA 15260 USA

[5] RAND Corp, 4570 Fifth Ave 600, Pittsburgh, PA 15213 USA

来源：

BMC HEALTH SERVICES RESEARCH | 2021年 / 21卷 / 01期

关键词：

Revisits; Readmissions; Observation stays; Socioeconomic disadvantage; Mental illness; HOSPITAL READMISSIONS; CARE; DEPRIVATION; ADMISSIONS; POPULATION; QUALITY; RATES; RISK;

D O I：

10.1186/s12913-021-06605-y

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundPatients with serious mental illness (SMI) are vulnerable to medical-surgical readmissions and emergency department visits.MethodsWe studied 1,914,619 patients with SMI discharged after medical-surgical admissions in Florida and New York between 2012 and 2015 and their revisits to the hospital within 30 days of discharge.ResultsPatients with SMI from the most disadvantaged communities had greater adjusted 30-day revisit rates than patients from less disadvantaged communities. Among those that experienced a revisit, patients from the most disadvantaged communities had 7.3% greater 30-day observation stay revisits.ConclusionsThese results suggest that additional investments are needed to ensure that patients with SMI from the most disadvantaged communities are receiving appropriate post-discharge care.

引用

页数：9

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