Multifaceted inpatient psychiatry approach to reducing readmissions: a pilot study.
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.
Lang
Timothy P
TP
Austin Medical Center, Mayo Health System, Austin, MN, USA.
Rohrer
James E
JE
Rioux
Pierre A
PA
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