Community Socioeconomic Disadvantage Drives Type of 30-day Medical-surgical Revisits Among Patients with Serious Mental Illness

Overview

Journal BMC Health Serv Res

Publisher Biomed Central

Specialty Health Services

Date 2021 Jul 6

PMID 34225719

Citations 1

Authors

Hayley D Germack

Khadejah Mahmoud

Mandy Cooper

Heather Vincent

Krista Koller

Grant R Martsolf

Affiliations

Soon will be listed here.

Abstract

Background: Patients with serious mental illness (SMI) are vulnerable to medical-surgical readmissions and emergency department visits.

Methods: We studied 1,914,619 patients with SMI discharged after medical-surgical admissions in Florida and New York between 2012 and 2015 and their revisits to the hospital within 30 days of discharge.

Results: Patients with SMI from the most disadvantaged communities had greater adjusted 30-day revisit rates than patients from less disadvantaged communities. Among those that experienced a revisit, patients from the most disadvantaged communities had 7.3 % greater 30-day observation stay revisits.

Conclusions: These results suggest that additional investments are needed to ensure that patients with SMI from the most disadvantaged communities are receiving appropriate post-discharge care.

Citing Articles

Pre-Implementation Strategies to Support Adaptation of Thrive: A Care Transitions Model for Economically Disadvantaged Patients with Serious Mental Illness.

Brooks Carthon J, Tibbitt C, Amenyedor K, Bettencourt A, Babe E, Cacchione P Nurs Rep. 2024; 14(4):3803-3818.

PMID: 39728639 PMC: 11678105. DOI: 10.3390/nursrep14040278.

Improvements in Transitional Care Among Medicaid-Insured Patients With Serious Mental Illness.

Nikpour J, Langston C, Brom H, Sliwinski K, Mason A, Garcia D J Nurs Care Qual. 2024; 40(1):76-83.

PMID: 39353401 PMC: 11888568. DOI: 10.1097/NCQ.0000000000000805.

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