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Multifaceted inpatient psychiatry approach to reducing readmissions: a pilot study
Timothy P Lang1, James E Rohrer, Pierre A Rioux
1Austin Medical Center, Mayo Health System, Austin, MN, USA.
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.
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