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Hospital utilization outcome of an assertive outreach model for schizophrenic patients - results of a quasi-experimental study.
Journal article

Hospital utilization outcome of an assertive outreach model for schizophrenic patients - results of a quasi-experimental study.

  • Büchtemann D Innovation Incubator, Leuphana University Luneburg, Germany.
  • Kästner D Innovation Incubator, Leuphana University Luneburg, Germany; Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Hamburg-Eppendorf & Schoen Clinic Hamburg Eilbek, Hamburg, Germany.
  • Warnke I Psychiatric University Hospital, University of Zurich, Switzerland.
  • Radisch J Innovation Incubator, Leuphana University Luneburg, Germany.
  • Baumgardt J Innovation Incubator, Leuphana University Luneburg, Germany; Department of Social Work, University of Applied Sciences (HAW) Hamburg, Germany. Electronic address: johanna.baumgardt@haw-hamburg.de.
  • Giersberg S Innovation Incubator, Leuphana University Luneburg, Germany.
  • Kleine-Budde K Innovation Incubator, Leuphana University Luneburg, Germany.
  • Moock J Innovation Incubator, Leuphana University Luneburg, Germany.
  • Kawohl W Innovation Incubator, Leuphana University Luneburg, Germany; Psychiatric University Hospital, University of Zurich, Switzerland.
  • Rössler W Innovation Incubator, Leuphana University Luneburg, Germany; Psychiatric University Hospital, University of Zurich, Switzerland; Institute of Psychiatry, Laboratory of Neuroscience (LIM 27), University of Sao Paulo, Brazil.
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  • 2016-05-22
Published in:
  • Psychiatry research. - 2016
Germany
Integrated care
Schizophrenia
Adult
Chi-Square Distribution
Community-Institutional Relations
Female
Germany
Hospitalization
Hospitals, Psychiatric
Humans
Male
Middle Aged
Multivariate Analysis
Non-Randomized Controlled Trials as Topic
Outcome Assessment, Health Care
Patient Acceptance of Health Care
Regression Analysis
Rural Health Services
Schizophrenia
English We assessed whether an Assertive Outreach (AO) program for patients with schizophrenia implemented in German routine care in rural areas reduces psychiatric hospital admissions and/or psychiatric hospital days. We conducted a quasi-experimental controlled study with 5 assessments in 12 months. Data collection included health care utilization (Client Sociodemographic and Service Receipt Inventory), and clinical parameters. The assessments took place in the practices of the psychiatrists. Admission incidence rates were calculated. For bivariate group comparison, we used U-tests, T-tests and Chi(2)-Tests, multivariate analysis was conducted using zero-inflated regression models. For hospital outcomes, data of 295 patients was analysed. No statistically significant differences between AO and TAU patients in terms of hospital admissions or hospital days were found. Overall hospital utilization was low (8%). Advantages of AO over TAU referring to hospital utilization were not found. However, a spill-over effect might have reduced hospital utilization in both groups. Further research should differentiate patient subgroups. These two appear to be key factors to explain effects or absence of effects and to draw conclusions for the mental health care delivery.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/298411
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