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Related Experiment Videos

The mythical readmissions explosion.

A S Weinstein

    The American Journal of Psychiatry
    |March 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Readmissions to state mental hospitals did not increase. Apparent rises were due to fewer first admissions and statistical artifacts, not more patient returns.

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    Area of Science:

    • Psychiatry
    • Health Services Research
    • Mental Health Policy

    Background:

    • Readmissions have been perceived to increase as a proportion of total admissions to state mental hospitals over the past 15 years.
    • This trend was widely interpreted as an accelerated rate of patient return post-discharge.

    Purpose of the Study:

    • To critically examine the trends in mental hospital readmissions.
    • To determine if the perceived increase in readmissions reflects an actual rise in rehospitalization rates.

    Main Methods:

    • Analysis of admission and readmission data from New York State mental health facilities.
    • Statistical examination to identify artifacts influencing readmission rates.

    Main Results:

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  • The rise in the readmission percentage was primarily driven by a decrease in first-time admissions.
  • The apparent increase in the absolute number of readmissions was explained by statistical artifacts.
  • No significant increase in the rate of patient rehospitalization within defined post-release periods was observed.

    • Conclusions:

    • The perceived increase in mental hospital readmissions is largely a statistical artifact.
    • There is no evidence of an accelerated rate of patient return to state mental hospitals.
    • Policy interpretations based on rising readmission rates may be unfounded.