BACKGROUND Assertive Community Treatment (ACT) is more successful in reducing hospitalization when baseline use is high. However, with a growing recovery-focus, ACT may be useful for people with severe mental illness who are difficult to engage but not high users of inpatient services. This study investigated hospitalization 2 years before and 2 years after ACT enrollment amongst patients both ...

Folke, F. 2017. Patient Engagement and the Effectiveness of Behavioural Activation in Inpatient Psychiatry. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1376. 78 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-513-0096-2. Psychiatric inpatient services provide important care for individuals with serious mental health problems. Studies show that ...

OBJECTIVE By providing a safe and supportive space for individuals experiencing or at risk of experiencing a mental health crisis, a peer respite may reduce the need for traditional crisis interventions. This study examined the relationship between peer respite and use of inpatient and emergency services among adults receiving publicly funded behavioral health services. METHODS This analysis ...

BACKGROUND AND OBJECTIVES Staphylococcus aureus is a leading cause of infection in patients with ESRD. Clinical and economic outcomes associated with S. aureus bacteremia and other S. aureus infections in patients with ESRD were examined. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS Laboratory, clinical, and hospital billing data from a randomized trial of 3359 hemodialysis-dependent patient...

The onset of the prospective payment system (PPS) has profoundly changed the structure of physician charges under Medicare. The proportion of allowed physician charges originating in an inpatient hospital setting was drastically reduced. In 1982, more than three-fifths of physician charges were related to inpatient services. By 1985, less than one-half derived from inpatient care (Figure 1). Th...

BACKGROUND Compared to outpatient treatment and self-treatment, inpatient treatment corresponds to more severe illness and poses more serious health and financial burden to patients. The goal of this study is to provide an updated and comprehensive description of the prevalence, characteristics, and cost of inpatient treatment for the middle-aged and elderly in Central China, which is highly po...

BACKGROUND Boarding of admitted patients in the emergency department (ED) is a major cause of crowding. One alternative to boarding in the ED, a full-capacity protocol where boarded patients are redeployed to inpatient units, can reduce crowding and improve overall flow. OBJECTIVE Our aim was to compare patient satisfaction with boarding in the ED vs. inpatient hallways. METHODS We performe...

BACKGROUND Pediatric palliative care (PPC) improves the quality of life for children with life-limiting conditions, but the cost of care associated with PPC has not been quantified. This study examined the association between inpatient cost and receipt of PPC among high-cost inpatients. METHODS The 10% most costly inpatients treated at a children's hospital in 2010 were studied, and factors a...

BACKGROUND Depression is one of the most debilitating and costly mental disorders. There is increasing evidence for the efficacy of online self-help in alleviating depression. Knowledge regarding the options of combining online self-help with inpatient psychotherapy is still limited. Therefore, we plan to evaluate an evidence-based self-help program (deprexis®; Gaia AG, Hamburg, Germany) to imp...

BACKGROUND AND OBJECTIVES Approximately two-thirds of kidney transplant recipients with no previous history of diabetes experience inpatient hyperglycemia immediately after kidney transplant surgery; whether inpatient hyperglycemia predicts future new onset diabetes after transplant (NODAT) is not established. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS A retrospective study was conducted t...