TY - JOUR
T1 - Factors associated with length of stay and readmission in acute psychiatric inpatient services in Portugal.
AU - Silva, M.
AU - Antunes, A.
AU - Loureiro, A.
AU - Azeredo-Lopes, S.
AU - Saraceno, B.
AU - Caldas-de-Almeida, J. M.
AU - Cardoso, G.
PY - 2020/11
Y1 - 2020/11
N2 - Assessing the factors that influence duration and number of hospitalizations may support mental health services planning and delivery. This study examines the factors associated with length of stay and readmission in Portuguese psychiatric inpatient services during 2002, 2007 and 2012. Data from all admissions were extracted from clinical files. Logistic regression models estimated the association between length of stay (<17 vs ≥17 days) and number of admissions per year (1 vs >1 admission) with sociodemographic, clinical, and contextual factors. Older age, a diagnosis of psychosis, and compulsory admission were associated with higher odds of longer length of stay. Being married, secondary education, suicide attempt, a diagnosis of substance use and “other mental disorders”, being admitted in 2012, and two of the psychiatric inpatient services associated with lower odds of longer length of stay. Being retired (or others), a diagnosis of psychosis, compulsory admission, and psychiatric service were associated with increased odds of readmission. Older age, and secondary and higher education were associated with lower odds of readmission. The findings indicate that multiple factors influence length of stay and readmission. Identifying these factors provides useful evidence for clinicians and policy makers to design more targeted and cost-effective interventions.
AB - Assessing the factors that influence duration and number of hospitalizations may support mental health services planning and delivery. This study examines the factors associated with length of stay and readmission in Portuguese psychiatric inpatient services during 2002, 2007 and 2012. Data from all admissions were extracted from clinical files. Logistic regression models estimated the association between length of stay (<17 vs ≥17 days) and number of admissions per year (1 vs >1 admission) with sociodemographic, clinical, and contextual factors. Older age, a diagnosis of psychosis, and compulsory admission were associated with higher odds of longer length of stay. Being married, secondary education, suicide attempt, a diagnosis of substance use and “other mental disorders”, being admitted in 2012, and two of the psychiatric inpatient services associated with lower odds of longer length of stay. Being retired (or others), a diagnosis of psychosis, compulsory admission, and psychiatric service were associated with increased odds of readmission. Older age, and secondary and higher education were associated with lower odds of readmission. The findings indicate that multiple factors influence length of stay and readmission. Identifying these factors provides useful evidence for clinicians and policy makers to design more targeted and cost-effective interventions.
KW - Health policy
KW - Hospitalization
KW - Mental health services
KW - Social inequalities
UR - http://www.scopus.com/inward/record.url?scp=85089814538&partnerID=8YFLogxK
U2 - 10.1016/j.psychres.2020.113420
DO - 10.1016/j.psychres.2020.113420
M3 - Article
C2 - 32861099
AN - SCOPUS:85089814538
SN - 0165-1781
VL - 293
JO - Psychiatry Research
JF - Psychiatry Research
M1 - 113420
ER -