Thirty-day hospital re-admission for Medicaid enrollees with schizophrenia: the role of patient comorbidity and local health-care systems

نویسندگان

  • Alisa B Busch
  • Arnold M Epstein
  • Thomas G McGuire
  • Sharon-Lise T Normand
  • Richard G Frank
چکیده

Background Early re-admission after hospitalization is an increasing focus of health-care policy because it results in high costs and often reflects opportunities for improving treatment quality. The goal of this study is to examine the relationship between 30-day mental health/substance use disorder hospital re-admission for persons with schizophrenia, and patient characteristics, hospital utilization, and community treatment quality and capacity.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Impact of policy changes on emergency department use by Medicaid enrollees in Oregon.

OBJECTIVE In 2003, Oregon's Medicaid expansion program, the Oregon Health Plan (OHP), implemented premiums and copayments and eliminated outpatient behavioral health services. We ascertained whether these changes, including $50 copayments for emergency department (ED) visits, affected ED use. METHODS This study used statewide administrative data on 414,009 adult OHP enrollees to compare ED ut...

متن کامل

Comparative performance of comorbidity indices in predicting health care-related behaviors and outcomes among Medicaid enrollees with type 2 diabetes.

No single gold standard of comorbidity measure has been identified, and the performance of comorbidity indices vary according to the outcome of interest. The authors compared the Charlson Comorbidity Index, Elixhauser Index (EI), Chronic Disease Score (CDS), and Health-related Quality of Life Comorbidity Index (HRQL-CI) in predicting health care-related behaviors (physicians' concordance with d...

متن کامل

Outpatient Antipsychotic Treatment and Inpatient Costs of Schizophrenia

OBJECTIVE To estimate the proportions of acute care inpatient admissions and hospital days for schizophrenia patients in the Medicaid program that are attributable to gaps in outpatient antipsychotic treatment and to calculate the corresponding total health care costs of this care. METHODS A series of multivariate regressions were performed with statewide 2001-2003 California Medicaid data to...

متن کامل

Trends in Tennessee Medicaid Acute Care: Use and Expenditures, 1974-1978

Because person-level data are not currently available at the Federal level, many questions regarding the use and expenditures of Medicaid services remain unanswered. This article demonstrates the capability of State Medicaid Management Information Systems (MMIS) to provide data that can address a variety of Medicaid program issues at both the State and Federal levels. Using data from the Tennes...

متن کامل

Influence of psychiatric comorbidity on surgical mortality.

OBJECTIVE To examine the potential effect of 5 existing psychiatric comorbidities on postsurgical mortality. DESIGN Retrospective cohort. SETTING Intensive care units of all Veterans Health Administration hospitals designated as providing acute care. PATIENTS We studied 35 539 surgical patients admitted to intensive care units from October 1, 2003, through September 30, 2006. MAIN OUTCO...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 10  شماره 

صفحات  -

تاریخ انتشار 2015