title: Multifaceted inpatient psychiatry approach to reducing readmissions: a pilot study.
abstract: BACKGROUND
  Access to psychiatric services, particularly inpatient psychiatric care, is limited and lacks comprehensiveness in rural areas.
  
  
  OBJECTIVE
  The purpose of this study was to evaluate the impact on readmission rates of a multifaceted inpatient psychiatry approach (MIPA) offered in a rural hospital.
  
  
  METHODS
  Readmissions within 30 days of patients who were admitted to an inpatient psychiatric unit using a MIPA model of care (N = 147) were compared to readmissions of a comparison group of patients who were admitted prior to the adoption of the MIPA (N = 37). Case mix differences were adjusted using multiple logistic regression analysis (N = 184).
  
  
  RESULTS
  Patients treated in the MIPA model of care had lower odds of readmission within 30 days (odds ratio 0.14, 95% CI 0.02-0.87, P < .03).
  
  
  CONCLUSIONS
  Effective inpatient psychiatric care can be provided in rural hospitals.
authors: Austin Medical Center, Mayo Health System, Austin, MN, USA.
authors: Timothy P
authors: TP
authors: Lang
authors: James E
authors: JE
authors: Rohrer
authors: Pierre A
authors: PA
authors: Rioux
mesh_terms: D000328:Adult; D005260:Female; D006297:Health Services Accessibility; D006780:Hospitals, Rural; D006801:Humans; D008297:Male; D008485:Medical Audit; D008605:Mental Health Services / Q000706:statistics & numerical data; D016017:Odds Ratio; D010359:Patient Readmission / Q000639:trends*; D010361:Patients / Q000523:psychology*; D012189:Retrospective Studies