Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway
Lars Henrik Myklebust,1 Knut Sørgaard,1,2 Rolf Wynn21Psychiatric Research Centre of North Norway, Nordland Hospital Trust, Bodø, 2Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, NorwayObjectives: In the last few decades, there has been a rest...
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ftdovepress:oai:dovepress.com/24358 2023-05-15T15:45:25+02:00 Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway Myklebust,Lars-Henrik Sørgaard,Knut Wynn,Rolf 2015-10-28 text/html https://www.dovepress.com/local-inpatient-units-may-increase-patients39-utilization-of-outpatien-peer-reviewed-fulltext-article-PRBM en eng Dove Press info:eu-repo/semantics/altIdentifier/doi/10.2147/PRBM.S94857 https://www.dovepress.com/local-inpatient-units-may-increase-patients39-utilization-of-outpatien-peer-reviewed-fulltext-article-PRBM info:eu-repo/semantics/openAccess Psychology Research and Behavior Management Original Research info:eu-repo/semantics/article 2015 ftdovepress https://doi.org/10.2147/PRBM.S94857 2022-12-27T21:56:57Z Lars Henrik Myklebust,1 Knut Sørgaard,1,2 Rolf Wynn21Psychiatric Research Centre of North Norway, Nordland Hospital Trust, Bodø, 2Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, NorwayObjectives: In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care.Methods: Two different service-systems were compared. Service-utilization over a 4-year period for 690 inpatients was extracted from the patient registries. The results were controlled for demographic variables, model of service-system, central inpatient admission or local inpatient admission, diagnoses, and duration of inpatient stays.Results: The majority of inpatients in the area with local integration of inpatient and outpatient services used both types of care. In the area that did not have beds locally, many patients that had been hospitalized did not receive outpatient follow-up. Predictors of inpatients' use of outpatient psychiatric care were: Model of service-system (centralized vs decentralized), a diagnosis of affective disorder, central inpatient admission only, and duration of inpatient stays.Conclusion: Psychiatric centers with local inpatient units may positively affect continuity of care for patients with severe psychiatric disorders, probably because of a high functional integration of inpatient and outpatient care.Keywords: psychiatry, hospitalization, decentralization, outpatients, continuity of care, health service research, affective Article in Journal/Newspaper Bodø Bodø Nordland Nordland North Norway Tromsø Arctic University of Norway Nordland UiT The Arctic University of Norway Dove Medical Press Arctic Norway Tromsø Bodø ENVELOPE(14.405,14.405,67.280,67.280) Psychology Research and Behavior Management 251 |
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Psychology Research and Behavior Management Myklebust,Lars-Henrik Sørgaard,Knut Wynn,Rolf Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway |
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Psychology Research and Behavior Management |
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Lars Henrik Myklebust,1 Knut Sørgaard,1,2 Rolf Wynn21Psychiatric Research Centre of North Norway, Nordland Hospital Trust, Bodø, 2Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, NorwayObjectives: In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care.Methods: Two different service-systems were compared. Service-utilization over a 4-year period for 690 inpatients was extracted from the patient registries. The results were controlled for demographic variables, model of service-system, central inpatient admission or local inpatient admission, diagnoses, and duration of inpatient stays.Results: The majority of inpatients in the area with local integration of inpatient and outpatient services used both types of care. In the area that did not have beds locally, many patients that had been hospitalized did not receive outpatient follow-up. Predictors of inpatients' use of outpatient psychiatric care were: Model of service-system (centralized vs decentralized), a diagnosis of affective disorder, central inpatient admission only, and duration of inpatient stays.Conclusion: Psychiatric centers with local inpatient units may positively affect continuity of care for patients with severe psychiatric disorders, probably because of a high functional integration of inpatient and outpatient care.Keywords: psychiatry, hospitalization, decentralization, outpatients, continuity of care, health service research, affective |
format |
Article in Journal/Newspaper |
author |
Myklebust,Lars-Henrik Sørgaard,Knut Wynn,Rolf |
author_facet |
Myklebust,Lars-Henrik Sørgaard,Knut Wynn,Rolf |
author_sort |
Myklebust,Lars-Henrik |
title |
Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway |
title_short |
Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway |
title_full |
Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway |
title_fullStr |
Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway |
title_full_unstemmed |
Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway |
title_sort |
local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in nordland county, norway |
publisher |
Dove Press |
publishDate |
2015 |
url |
https://www.dovepress.com/local-inpatient-units-may-increase-patients39-utilization-of-outpatien-peer-reviewed-fulltext-article-PRBM |
long_lat |
ENVELOPE(14.405,14.405,67.280,67.280) |
geographic |
Arctic Norway Tromsø Bodø |
geographic_facet |
Arctic Norway Tromsø Bodø |
genre |
Bodø Bodø Nordland Nordland North Norway Tromsø Arctic University of Norway Nordland UiT The Arctic University of Norway |
genre_facet |
Bodø Bodø Nordland Nordland North Norway Tromsø Arctic University of Norway Nordland UiT The Arctic University of Norway |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2147/PRBM.S94857 https://www.dovepress.com/local-inpatient-units-may-increase-patients39-utilization-of-outpatien-peer-reviewed-fulltext-article-PRBM |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.2147/PRBM.S94857 |
container_title |
Psychology Research and Behavior Management |
container_start_page |
251 |
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1766379801429409792 |