Readmission and Risk Factors Among Community Rehabilitation Users With Psychiatric Disease in Taiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/335538
Category:
Abstract
Type:
Presentation
Title:
Readmission and Risk Factors Among Community Rehabilitation Users With Psychiatric Disease in Taiwan
Author(s):
Su, Hui-Fang; Hsieh, Pi-Ching
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Hui-Fang Su, RN, PhD, suhf@ntunhs.edu.tw; Pi-Ching Hsieh, PhD, RN
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: With reference to phase I and phase II of Andersen’s behavioral model of health service utilization, the aims of this study were first to investigate the characteristics of community rehabilitation care users and then to analyze the frequency of readmission and its risk factors within one year after discharge from a hospital for the treatment of mental illness. Methods: A retrospective cohort study design was used. Data analyzed in this study were retrieved from the ‘home care specific files’ of the National Health Insurance Research Database issued by the National Institutes of Health between 1999 and 2009. A total of 25,218 people were new cases of community rehabilitation care between 2000 and 2007. In order to forecast these community rehabilitation care users’ risk of readmission within one year after discharge, the Cox proportional hazard model was utilized. Results: We found that the adjusted hazard ratio was significantly lower for groups of 8-14 times users and 15 or more-times users of community rehabilitation care than for 1-7 times users (0.73 & 0.72 respectively) in the Cox regression model. Furthermore, the risk of readmission was lower for females, clients who were insured by sub-bureau in the middle part of Taiwan, a diagnosis of schizophrenia, and a length of hospital stay less than 55 days. Conclusion: The lower the frequency of psychiatric patients’ using community rehabilitation care, the higher the risk of readmission.
Keywords:
Community rehabilitation; Cox proportional hazard model; psychiatric disease
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleReadmission and Risk Factors Among Community Rehabilitation Users With Psychiatric Disease in Taiwanen_GB
dc.contributor.authorSu, Hui-Fangen_GB
dc.contributor.authorHsieh, Pi-Chingen_GB
dc.contributor.departmentLambda Beta-at-Largeen_GB
dc.author.detailsHui-Fang Su, RN, PhD, suhf@ntunhs.edu.tw; Pi-Ching Hsieh, PhD, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335538-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: With reference to phase I and phase II of Andersen’s behavioral model of health service utilization, the aims of this study were first to investigate the characteristics of community rehabilitation care users and then to analyze the frequency of readmission and its risk factors within one year after discharge from a hospital for the treatment of mental illness. Methods: A retrospective cohort study design was used. Data analyzed in this study were retrieved from the ‘home care specific files’ of the National Health Insurance Research Database issued by the National Institutes of Health between 1999 and 2009. A total of 25,218 people were new cases of community rehabilitation care between 2000 and 2007. In order to forecast these community rehabilitation care users’ risk of readmission within one year after discharge, the Cox proportional hazard model was utilized. Results: We found that the adjusted hazard ratio was significantly lower for groups of 8-14 times users and 15 or more-times users of community rehabilitation care than for 1-7 times users (0.73 & 0.72 respectively) in the Cox regression model. Furthermore, the risk of readmission was lower for females, clients who were insured by sub-bureau in the middle part of Taiwan, a diagnosis of schizophrenia, and a length of hospital stay less than 55 days. Conclusion: The lower the frequency of psychiatric patients’ using community rehabilitation care, the higher the risk of readmission.en_GB
dc.subjectCommunity rehabilitationen_GB
dc.subjectCox proportional hazard modelen_GB
dc.subjectpsychiatric diseaseen_GB
dc.date.available2014-11-17T13:54:33Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:54:33Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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