Show simple item record

dc.contributor.authorMyklebust, Lars Henrik Ryther
dc.contributor.authorSørgaard, Knut W.
dc.contributor.authorWynn, Rolf
dc.date.accessioned2016-02-08T14:37:41Z
dc.date.available2016-02-08T14:37:41Z
dc.date.issued2015-10-28
dc.description.abstractObjectives: 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. <p>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. <p>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. <p>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.en_US
dc.identifier.citationPsychology Research and Behavior Management 8(2015) s. 251-257en_US
dc.identifier.cristinIDFRIDAID 1266750
dc.identifier.doihttp://dx.doi.org/10.2147/PRBM.S94857
dc.identifier.issn1179-1578
dc.identifier.urihttps://hdl.handle.net/10037/8439
dc.identifier.urnURN:NBN:no-uit_munin_8008
dc.language.isoengen_US
dc.publisherDove Medical Press Ltd.en_US
dc.rights.accessRightsopenAccess
dc.subjectpsychiatryen_US
dc.subjecthospitalizationen_US
dc.subjectdecentralizationen_US
dc.subjectoutpatientsen_US
dc.subjectcontinuity of careen_US
dc.subjecthealth service researchen_US
dc.subjectaffectiveen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri, barnepsykiatri: 757en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry, child psychiatry: 757en_US
dc.titleLocal inpatient units may increase patients' utilization of outpatient services: A comparative cohort-study in Nordland County, Norwayen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail
Thumbnail

This item appears in the following collection(s)

Show simple item record