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Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature
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 syste...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483311/ https://www.ncbi.nlm.nih.gov/pubmed/28646857 http://dx.doi.org/10.1186/s12888-017-1386-z |
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author | Sfetcu, R. Musat, S. Haaramo, P. Ciutan, M. Scintee, G. Vladescu, C. Wahlbeck, K. Katschnig, H. |
author_facet | Sfetcu, R. Musat, S. Haaramo, P. Ciutan, M. Scintee, G. Vladescu, C. Wahlbeck, K. Katschnig, H. |
author_sort | Sfetcu, R. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5483311 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54833112017-06-26 Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature Sfetcu, R. Musat, S. Haaramo, P. Ciutan, M. Scintee, G. Vladescu, C. Wahlbeck, K. Katschnig, H. BMC Psychiatry Research Article 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. BioMed Central 2017-06-24 /pmc/articles/PMC5483311/ /pubmed/28646857 http://dx.doi.org/10.1186/s12888-017-1386-z Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Sfetcu, R. Musat, S. Haaramo, P. Ciutan, M. Scintee, G. Vladescu, C. Wahlbeck, K. Katschnig, H. Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature |
title | Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature |
title_full | Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature |
title_fullStr | Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature |
title_full_unstemmed | Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature |
title_short | Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature |
title_sort | overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483311/ https://www.ncbi.nlm.nih.gov/pubmed/28646857 http://dx.doi.org/10.1186/s12888-017-1386-z |
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