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

BACKGROUND: Patients with serious mental illness (SMI) are vulnerable to medical-surgical readmissions and emergency department visits. METHODS: We 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...

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Autores principales: Germack, Hayley D., Mahmoud, Khadejah, Cooper, Mandy, Vincent, Heather, Koller, Krista, Martsolf, Grant R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256502/
https://www.ncbi.nlm.nih.gov/pubmed/34225719
http://dx.doi.org/10.1186/s12913-021-06605-y
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author Germack, Hayley D.
Mahmoud, Khadejah
Cooper, Mandy
Vincent, Heather
Koller, Krista
Martsolf, Grant R.
author_facet Germack, Hayley D.
Mahmoud, Khadejah
Cooper, Mandy
Vincent, Heather
Koller, Krista
Martsolf, Grant R.
author_sort Germack, Hayley D.
collection PubMed
description BACKGROUND: Patients with serious mental illness (SMI) are vulnerable to medical-surgical readmissions and emergency department visits. METHODS: We 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. RESULTS: Patients 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. CONCLUSIONS: These results suggest that additional investments are needed to ensure that patients with SMI from the most disadvantaged communities are receiving appropriate post-discharge care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06605-y.
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spelling pubmed-82565022021-07-06 Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness Germack, Hayley D. Mahmoud, Khadejah Cooper, Mandy Vincent, Heather Koller, Krista Martsolf, Grant R. BMC Health Serv Res Research Article BACKGROUND: Patients with serious mental illness (SMI) are vulnerable to medical-surgical readmissions and emergency department visits. METHODS: We 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. RESULTS: Patients 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. CONCLUSIONS: These results suggest that additional investments are needed to ensure that patients with SMI from the most disadvantaged communities are receiving appropriate post-discharge care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06605-y. BioMed Central 2021-07-05 /pmc/articles/PMC8256502/ /pubmed/34225719 http://dx.doi.org/10.1186/s12913-021-06605-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Germack, Hayley D.
Mahmoud, Khadejah
Cooper, Mandy
Vincent, Heather
Koller, Krista
Martsolf, Grant R.
Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness
title Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness
title_full Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness
title_fullStr Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness
title_full_unstemmed Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness
title_short Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness
title_sort community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256502/
https://www.ncbi.nlm.nih.gov/pubmed/34225719
http://dx.doi.org/10.1186/s12913-021-06605-y
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