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J Rural Health. 2009 Summer;25(3):309-13. doi: 10.1111/j.1748-0361.2009.00235.x.

Multifaceted inpatient psychiatry approach to reducing readmissions: a pilot study.

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  • 1Austin Medical Center, Mayo Health System, Austin, MN, USA.



Access to psychiatric services, particularly inpatient psychiatric care, is limited and lacks comprehensiveness in rural areas.


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.


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).


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).


Effective inpatient psychiatric care can be provided in rural hospitals.

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