Predictors of rehospitalization in high-utilizing patients in the VA psychiatric medical system

  • Bowersox N
  • Saunders S
  • Berger B
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Abstract

233 high-service-utilizing (HSU) psychiatric patients were recruited during an inpatient psychiatric treatment. They completed a questionnaire related to their treatment beliefs and were tracked via computerized medical records over 2 years. During the follow-up period, 79.8% were readmitted for additional inpatient psychiatric treatment. Survival analysis techniques were used to examine patients' rates of readmittance during the follow-up period. Number of previous year inpatient psychiatric days served as a significant predictor of readmittance status and time to readmission. The survival plot was split by previous-year inpatient days to examine the effect of this variable on readmission. Implications of findings are discussed.

Author-supplied keywords

  • High-utilizing psychiatric patients
  • Rehospitalization
  • Survival analysis
  • Theory of planned behavior

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Authors

  • Nicholas W. Bowersox

  • Stephen M. Saunders

  • Bertrand D. Berger

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