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Is Organizational Change Associated With Increased Rates of Readmission to General Hospital in Suicide Attempters? A 10-Year Prospective Catchment Area Study

机译:组织变革是否与自杀企图者到综合医院的再入院率增加相关?十年集水区研究

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The objective of this study was to examine predictors for readmissions in patients admitted to a general hospital emergency ward for suicide attempts before and after organizational changes potentially affecting the chain of care. Socio-demographic and clinical variables were collected by clinicians from 1997 thru 2007. Data from the periods before and after 2004—when the hospital changed its catchment area—were compared. A substantial increase in readmission rates in the period after the organizational change was observed. This increase was not associated with any of the socio-demographic or clinical patient characteristics. Although no causal connection can be inferred, the observed association between organizational change and readmission rates could indicate that established post-discharge care systems for suicide attempters may be vulnerable to such change.View full textDownload full textKeywordsadults, follow-up, general hospital, inpatients, longitudinal, suicide attemptRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/13811111003704811
机译:这项研究的目的是检查在组织变化可能影响医疗服务链的前后,因综合原因而进入综合医院急诊病房自杀的患者的再入院预测指标。临床医生从1997年至2007年收集了社会人口统计学和临床​​变量。比较了2004年之前和之后(即医院更换其服务区域)期间的数据。在组织变更后的时期内,重新录取率显着增加。这种增加与任何社会人口统计学或临床患者特征均无关。尽管无法推断出因果关系,但观察到的组织变化与再入院率之间的关联性可能表明,为自杀未遂者建立的出院后护理系统可能容易受到这种变化的影响。 ,纵向,自杀未遂相关变量var addthis_config = {ui_cobrand:“泰勒和弗朗西斯在线”,servicescompact:“ citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,更多”,发布:“ ra-4dff56cd6bb1830b “};添加到候选列表链接永久链接http://dx.doi.org/10.1080/13811111003704811

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