The Problem of Readmission
The problem of readmission to in-patient psychiatric treatment was examined in the past mainly with patients, who had previous admissions yet, the results of a great number of investigations proved to be contradictory. Some investigations (e.g. Viesselman, J. et al., 1975) see the diagnosis and the seriousness of the symptoms connected with the problem of readmission. Other studies (e.g. Jansen, D. & Nickles, L., 1973) do not find this difference. The question as to whether the readmission rate depends on the job situation also does not seem to be fully answered (e.g. Lorei, T. & Gurel, L., 1972). One of the few variables which were found as a predictor of a rehospitalization of psychiatric patients trough-out is the variable ‘number of previous admissions’ (c.f. Rosenblatt, A. & Mayer, J., 1974). One reason why it was this variable that proved to be decisive can be seen in the fact that practically all investigations concerning readmission were carried out as retrospective studies. This result, however, has no practical relevance for measures which could prevent a chronic development or readmission after the first hospitalization. But results concerning the risk factors of readmission would be highly important for the psychiatrist at the time of admission. Such insights, however, can only be gained in a prospective study.
KeywordsPersonality Disorder Drug Addiction Readmission Rate Discharge Diagnosis Diagnosis Group
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