Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Trends in Psychiatry and Psychotherapy |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000300193 |
Resumo: | Abstract Introduction The readmission phenomenon in psychiatry not only reflects the severity and chronicity of the underlying disorders, but also indicates the quality of mental healthcare. In the context of the Brazilian mental healthcare reform, no study has included the availability of outpatient care among the potential determinants for psychiatric readmission. Objective To correlate the availability of community healthcare resources at the place of residence with the risk of psychiatric readmission. Methods All admission records from 2005 to 2011 in the two public psychiatric hospitals of Belo Horizonte were included (n=19,723). Variables related to patients and characteristics of hospitalization were collected, and indicators of community healthcare coverage were calculated for each place of residence yearly. The outcome of interest was early (<7 days), medium-term (8-30 days) and late (31-365 days) readmissions. The analysis was based on Cox regressions. Results The coverage of basic health units and of psychiatrists was associated with lower readmission risks. Coverage of specialized centers for psychosocial attention (Centros de Atenção Psicossocial [CAPS]) and psychologists did not show any protective effects. Young, male patients and those residing outside the capital had greater risk of early readmission. Compared to other psychotic disorders, mood disorders and neurotic disorders were seen as protective factors for readmission. Conclusion Regionalized attention offered by the CAPS did not result in reduced readmission risks. |
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Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011Hospital readmissioncommunity mental health servicesrisk factorsAbstract Introduction The readmission phenomenon in psychiatry not only reflects the severity and chronicity of the underlying disorders, but also indicates the quality of mental healthcare. In the context of the Brazilian mental healthcare reform, no study has included the availability of outpatient care among the potential determinants for psychiatric readmission. Objective To correlate the availability of community healthcare resources at the place of residence with the risk of psychiatric readmission. Methods All admission records from 2005 to 2011 in the two public psychiatric hospitals of Belo Horizonte were included (n=19,723). Variables related to patients and characteristics of hospitalization were collected, and indicators of community healthcare coverage were calculated for each place of residence yearly. The outcome of interest was early (<7 days), medium-term (8-30 days) and late (31-365 days) readmissions. The analysis was based on Cox regressions. Results The coverage of basic health units and of psychiatrists was associated with lower readmission risks. Coverage of specialized centers for psychosocial attention (Centros de Atenção Psicossocial [CAPS]) and psychologists did not show any protective effects. Young, male patients and those residing outside the capital had greater risk of early readmission. Compared to other psychotic disorders, mood disorders and neurotic disorders were seen as protective factors for readmission. Conclusion Regionalized attention offered by the CAPS did not result in reduced readmission risks.Associação de Psiquiatria do Rio Grande do Sul2018-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000300193Trends in Psychiatry and Psychotherapy v.40 n.3 2018reponame:Trends in Psychiatry and Psychotherapyinstname:Sociedade de Psiquiatria do Rio Grande do Sulinstacron:APRGS10.1590/2237-6089-2017-0080info:eu-repo/semantics/openAccessVolpe,Fernando MadalenaBraga,Isabela Pintoda Silva,Eliane Musseleng2018-10-04T00:00:00Zoai:scielo:S2237-60892018000300193Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-6089&lng=en&nrm=isohttps://old.scielo.br/oai/scielo-oai.phprevista@aprs.org.br|| rodrigo_grassi@terra.com.br2238-00192237-6089opendoar:2018-10-04T00:00Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sulfalse |
dc.title.none.fl_str_mv |
Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011 |
title |
Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011 |
spellingShingle |
Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011 Volpe,Fernando Madalena Hospital readmission community mental health services risk factors |
title_short |
Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011 |
title_full |
Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011 |
title_fullStr |
Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011 |
title_full_unstemmed |
Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011 |
title_sort |
Community health services and risk of readmission in public psychiatric hospitals of Belo Horizonte, Brazil, 2005-2011 |
author |
Volpe,Fernando Madalena |
author_facet |
Volpe,Fernando Madalena Braga,Isabela Pinto da Silva,Eliane Mussel |
author_role |
author |
author2 |
Braga,Isabela Pinto da Silva,Eliane Mussel |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Volpe,Fernando Madalena Braga,Isabela Pinto da Silva,Eliane Mussel |
dc.subject.por.fl_str_mv |
Hospital readmission community mental health services risk factors |
topic |
Hospital readmission community mental health services risk factors |
description |
Abstract Introduction The readmission phenomenon in psychiatry not only reflects the severity and chronicity of the underlying disorders, but also indicates the quality of mental healthcare. In the context of the Brazilian mental healthcare reform, no study has included the availability of outpatient care among the potential determinants for psychiatric readmission. Objective To correlate the availability of community healthcare resources at the place of residence with the risk of psychiatric readmission. Methods All admission records from 2005 to 2011 in the two public psychiatric hospitals of Belo Horizonte were included (n=19,723). Variables related to patients and characteristics of hospitalization were collected, and indicators of community healthcare coverage were calculated for each place of residence yearly. The outcome of interest was early (<7 days), medium-term (8-30 days) and late (31-365 days) readmissions. The analysis was based on Cox regressions. Results The coverage of basic health units and of psychiatrists was associated with lower readmission risks. Coverage of specialized centers for psychosocial attention (Centros de Atenção Psicossocial [CAPS]) and psychologists did not show any protective effects. Young, male patients and those residing outside the capital had greater risk of early readmission. Compared to other psychotic disorders, mood disorders and neurotic disorders were seen as protective factors for readmission. Conclusion Regionalized attention offered by the CAPS did not result in reduced readmission risks. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000300193 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000300193 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2237-6089-2017-0080 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação de Psiquiatria do Rio Grande do Sul |
publisher.none.fl_str_mv |
Associação de Psiquiatria do Rio Grande do Sul |
dc.source.none.fl_str_mv |
Trends in Psychiatry and Psychotherapy v.40 n.3 2018 reponame:Trends in Psychiatry and Psychotherapy instname:Sociedade de Psiquiatria do Rio Grande do Sul instacron:APRGS |
instname_str |
Sociedade de Psiquiatria do Rio Grande do Sul |
instacron_str |
APRGS |
institution |
APRGS |
reponame_str |
Trends in Psychiatry and Psychotherapy |
collection |
Trends in Psychiatry and Psychotherapy |
repository.name.fl_str_mv |
Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sul |
repository.mail.fl_str_mv |
revista@aprs.org.br|| rodrigo_grassi@terra.com.br |
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1754209281073217536 |