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Multifaceted Inpatient Psychiatry Approach to Reducing Readmissions: A Pilot Study
Author(s) -
Lang Timothy P.,
Rohrer James E.,
Rioux Pierre A.
Publication year - 2009
Publication title -
the journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.439
H-Index - 57
eISSN - 1748-0361
pISSN - 0890-765X
DOI - 10.1111/j.1748-0361.2009.00235.x
Subject(s) - medicine , medline , psychiatry , psychology , medical emergency , political science , law
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.