Hospital utilization outcome of an assertive outreach model for schizophrenic patients – results of a quasi-experimental study
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In: Psychiatry Research, Vol. 241, 30.07.2016, p. 249-255.
Research output: Journal contributions › Journal articles › Research › peer-review
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TY - JOUR
T1 - Hospital utilization outcome of an assertive outreach model for schizophrenic patients – results of a quasi-experimental study
AU - Büchtemann, Dorothea
AU - Kästner, Denise
AU - Warnke, Ingeborg
AU - Radisch, Jeanett
AU - Baumgardt, Johanna
AU - Giersberg, Steffi
AU - Kleine-Budde, Katja
AU - Moock, Jörn
AU - Kawohl, Wolfram
AU - Rössler, Wulf
PY - 2016/7/30
Y1 - 2016/7/30
N2 - 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 Chi2-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.
AB - 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 Chi2-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.
KW - Germany
KW - Integrated care
KW - Schizophrenia
KW - Health sciences
UR - http://www.scopus.com/inward/record.url?scp=84979581159&partnerID=8YFLogxK
U2 - 10.1016/j.psychres.2016.05.012
DO - 10.1016/j.psychres.2016.05.012
M3 - Journal articles
C2 - 27208511
AN - SCOPUS:84979581159
VL - 241
SP - 249
EP - 255
JO - Psychiatry Research
JF - Psychiatry Research
SN - 0165-1781
ER -