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Predicting service utilization after psychiatric hospitalization.

J W Goethe1, E A Dornelas, C Gruman

  • 1Burlingame Center for Psychiatric Research and Education, Institute of Living, Hartford, CT 06106, USA.

Comprehensive Psychiatry
|June 9, 1999
PubMed
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This study examined posthospitalization service use among former inpatients. Key predictors of high service utilization included diagnosis, hospital stay length, and medication compliance.

Area of Science:

  • Health Services Research
  • Medical Sociology
  • Public Health

Background:

  • Posthospitalization care is crucial for patient recovery and preventing readmissions.
  • Understanding service utilization patterns is essential for effective healthcare planning.
  • Predictors of service use can inform targeted interventions.

Purpose of the Study:

  • To determine the extent of service utilization in the posthospitalization period.
  • To identify patient characteristics influencing service utilization outcomes.
  • To develop a predictive model for posthospitalization service use.

Main Methods:

  • Utilized ordered logit models to analyze service utilization.
  • Sample comprised former inpatients followed for six months.

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  • Data collected via mailed questionnaires and telephone interviews at 3 and 6 months.

    • Main Results:

    • Significant predictors of 6-month service utilization included diagnosis, length of hospital stay, history of suicide attempts, perceived stress, and medication compliance at 3 months.
    • A considerable proportion of the sample exhibited high service utilization.
    • The developed model effectively predicted service utilization outcomes.

    Conclusions:

    • Service utilization in the posthospitalization period is substantial and influenced by multiple patient factors.
    • Predictive modeling can identify patients likely to utilize services, aiding resource allocation.
    • Further research can refine interventions based on identified predictors.