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

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Hospital utilization outcome of an assertive outreach model for schizophrenic patients – results of a quasi-experimental study. / Büchtemann, Dorothea; Kästner, Denise; Warnke, Ingeborg et al.
In: Psychiatry Research, Vol. 241, 30.07.2016, p. 249-255.

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@article{4aecc3aaf41b40deb6360ed77ecc23e3,
title = "Hospital utilization outcome of an assertive outreach model for schizophrenic patients – results of a quasi-experimental study",
abstract = "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.",
keywords = "Germany, Integrated care, Schizophrenia, Health sciences",
author = "Dorothea B{\"u}chtemann and Denise K{\"a}stner and Ingeborg Warnke and Jeanett Radisch and Johanna Baumgardt and Steffi Giersberg and Katja Kleine-Budde and J{\"o}rn Moock and Wolfram Kawohl and Wulf R{\"o}ssler",
year = "2016",
month = jul,
day = "30",
doi = "10.1016/j.psychres.2016.05.012",
language = "English",
volume = "241",
pages = "249--255",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier B.V.",

}

RIS

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 -