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Epidemiol Psychiatr Sci. 2011 Mar;20(1):65-72.

Effectiveness of continuity-of-care programs to reduce time in hospital in persons with schizophrenia.

Author information

1
Hospital de Dia, Hospital General, c/ Tomelloso s/n 13002 Ciudad Real, Castilla la Mancha, Spain. mariaasuarez@yahoo.es

Abstract

AIMS:

To assess the impact of the Continuity-of-Care Program (CCP; a clinical case management model) on hospital use of persons with schizophrenia in three Community Mental Health Services in Madrid (Spain).

METHODS:

Using data provided by the Psychiatric Case Register, we analyzed the use of hospitalization in 250 individuals before and after the date of inclusion in this program.

RESULTS:

During the first year after launching the program, there was a 40-69% reduction in the number of admissions, length of each hospital stay, proportion of admitted patients, total number of days in-hospital, proportion of patients visiting the emergency room, and emergency room visits. This drop was maintained over the subsequent 3 years of program functioning.

CONCLUSIONS:

These results encourage the development and implementation of such programs, even though more studies evaluating the effectiveness of these programs for other endpoints are needed.

PMID:
21657117
[Indexed for MEDLINE]
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