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Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System

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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.

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Authors and Affiliations

  1. Department of Veterans Affairs, Health Services Research and Development, Serious Mental Illness Treatment Research and Evaluation Center (SMITREC), PO Box 130170, Ann Arbor, MI, 48113-0170, USA

    Nicholas W. Bowersox

  2. Marquette University, Milwaukee, WI, USA

    Stephen M. Saunders

  3. Milwuakee VA Hospital, Milwaukee, WI, USA

    Bertrand D. Berger

  4. Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI, USA

    Bertrand D. Berger

Authors
  1. Nicholas W. Bowersox
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  2. Stephen M. Saunders
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  3. Bertrand D. Berger
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Correspondence to Nicholas W. Bowersox.

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Bowersox, N.W., Saunders, S.M. & Berger, B.D. Predictors of Rehospitalization in High-Utilizing Patients in the VA Psychiatric Medical System. Psychiatr Q 83, 53–64 (2012). https://doi.org/10.1007/s11126-011-9182-2

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  • DOI: https://doi.org/10.1007/s11126-011-9182-2

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