Multifaceted Inpatient Psychiatry Approach to Reducing Readmissions: A Pilot Study |
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Authors: | Timothy P Lang PsyD LP ; James E Rohrer PhD ; and Pierre A Rioux MD DFAPA |
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Institution: | Austin Medical Center, Mayo Health System, Austin, Minn.;Department of Family Medicine, Mayo Clinic, Rochester, Minn. |
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Abstract: | ABSTRACT: Context: Access to psychiatric services, particularly inpatient psychiatric care, is limited and lacks comprehensiveness in rural areas. Purpose: The purpose of this study was to evaluate the impact on readmission rates of a multifaceted inpatient psychiatry approach (MIPA) offered in a rural hospital. Methods: Readmissions within 30 days of patients who were admitted to an inpatient psychiatric unit using a MIPA model of care (N = 147) were compared to readmissions of a comparison group of patients who were admitted prior to the adoption of the MIPA (N = 37). Case mix differences were adjusted using multiple logistic regression analysis (N = 184). Findings: Patients treated in the MIPA model of care had lower odds of readmission within 30 days (odds ratio 0.14, 95% CI 0.02-0.87, P < .03). Conclusions: Effective inpatient psychiatric care can be provided in rural hospitals. |
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