@article{ref1,
title="The impact of 90-day physician follow-up care on the risk of readmission following a psychiatric hospitalization",
journal="Administration and policy in mental health",
year="2022",
author="Fleury, Marie-Josée and Gentil, Lia and Grenier, Guy and Rahme, Elham",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIMS: This study measures the impact of 90-day physician follow-up care after psychiatric hospitalization among 3,311 adults and youth, with risk of subsequent readmission within six months. <br><br>METHODS: A 5-year investigation was conducted based on Quebec (Canada) medical administrative databases. Cox proportional-hazards regression was performed, with 90-day follow-up care as the main independent variable, controlling for various sociodemographic, clinical, and other service use variables. <br><br>RESULTS: Within the 90-day follow-up period after patient discharge, or in the first 30 days, receiving at least one consultation per month as opposed to no consultation was associated with a reduced risk of psychiatric readmission. Women showed an increased readmission risk compared to men, while those living in less materially deprived areas a decreased risk as opposed to more deprived areas. Patients hospitalized for suicide attempt or schizophrenia spectrum and other psychotic disorders, and those with co-occurring mental and substance-related disorders or chronic physical illnesses, especially illnesses high on the severity index, also presented a heightened risk of hospitalization. Patients hospitalized for personality disorders or receiving a high continuity of physician care showed a reduced risk of readmission. <br><br>CONCLUSION: This study demonstrates that follow-up care, if provided within the first 30 days of discharge or monthly during the 90-day follow-up period, decreased the risk of readmission, as did having a high continuity of physician care prior to and within the 90-day follow-up period. However, few patients in this study had received such high-quality care, indicating that the Quebec system needs to considerably improve its discharge planning processes.<p /> <p>Language: en</p>",
language="en",
issn="0894-587X",
doi="10.1007/s10488-022-01216-z",
url="http://dx.doi.org/10.1007/s10488-022-01216-z"
}