Hayley D Germack1, Khadejah Mahmoud2, Mandy Cooper3, Heather Vincent4, Krista Koller5, Grant R Martsolf3,6. 1. University of Pittsburgh School of Nursing, 3500 Victoria Street 336 Victoria Building, 15261, Pittsburgh, PA, USA. hdg8@pitt.edu. 2. University of Pittsburgh Graduate School of Public Health, 130 De Soto Street, 15261, Pittsburgh, PA, USA. 3. University of Pittsburgh School of Nursing, 3500 Victoria Street 336 Victoria Building, 15261, Pittsburgh, PA, USA. 4. Community College of Allegheny County, 710 Duncan Avenue, 15237, Pittsburgh, PA, USA. 5. University of Pittsburgh College of General Studies, 1400 Wesley W. Posvar Hall 230 S. Bouquet St, 15260, PA, Pittsburgh, USA. 6. RAND Corporation, 4570 Fifth Ave #600, 15213, Pittsburgh, PA, USA.
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.
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.
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