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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.

Abstract

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.

[PubMed - indexed for MEDLINE]
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