Predictors for readmission risk of new patients: the Nordic Comparative Study on Sectorized Psychiatry

T Oiesvold*, O Saarento, S Sytema, H Vinding, G Gostas, O Lonnerberg, S Muus, M Sandlund, L Hansson

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

58 Citations (Scopus)

Abstract

Objective: Predictors for readmission risk were investigated in this study, which forms part of the Nordic Comparative Study on Sectorized Psychiatry.

Method: Included were a total of 837 consecutive 'new' patients (not in contact with the psychiatric services for at least 18 months) admitted to in-patient stay during a period of 1 year to seven psychiatric hospitals in four Nordic countries.

Results: Multivariate survival analyses showed that younger age predicted increased readmission risk. Stratifying on gender, diagnostic group and sector revealed a general pattern concerning age which was the only consistent main effect. Living alone and unemployed increased readmission risk in the non-psychosis group, while receipt of aftercare decreased readmission risk in the psychosis group. A curvilinear relationship was found between availability of psychiatric resources and readmission risk: an intermediate amount of resources was associated with increased risk.

Conclusion: Our findings support a hyphothesis that readmission risk is multifactorially determined and that interactions have to be considered.

Original languageEnglish
Pages (from-to)367-373
Number of pages7
JournalActa Psychiatrica Scandinavica
Volume101
Issue number5
Publication statusPublished - May-2000

Keywords

  • hospitalization
  • length of stay
  • psychiatry
  • readmission
  • survival analysis
  • INPATIENT STAY
  • MENTAL-HEALTH
  • RECIDIVISM
  • CARE
  • SCHIZOPHRENIA
  • PATTERNS
  • LENGTH
  • REHOSPITALIZATION
  • RESOURCES
  • SERVICES

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