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Effects of Home Visit Intervention on Re-hospitalization Rates in Psychiatric Patients

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Abstract

To examine the home visit intervention (HoVI) effects on the re-hospitalization rate and medical costs in patients with schizophrenia or other psychiatric disorders. The subjects who received more than 3 HoVIs were defined as the HoVI group, whereas the subjects who received equal to or less than 3 HoVIs were defined as the HoVI < 4 group; the subjects who had never received an HoVI were defined as the non-HoVI group. Differences in the re-hospitalization rates and National Health Insurance (NHI) costs among the three groups were examined. The re-hospitalization rate of the HoVI group was significantly lower than that of the non-HoVI group. The hospitalization days and the NHI costs of the HoVI group were also lower than those of the non-HoVI group. However, the HoVI < 4 group was not different than the non-HoVI group regarding the re-hospitalization rate or the hospitalization days. The re-hospitalization rate was significantly higher before compared with after the HoVIs. The NHI costs were significantly higher before compared with after the HoVIs. HoVIs (More than 3 HoVIs) produced a lower re-hospitalization rate, number of hospitalization days, and NHI costs in patients who received care through the Home Visit. Project to strengthen the Community Rehabilitation Program.

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Authors and Affiliations

  1. Department of Community Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung City, Taiwan

    Yun-Chang Chang

  2. Kaohsiung Municipal Kai-Syuan Psychiatric Hospital No. 130, Kaisyuan 2nd Rd, Lingya District, Kaohsiung City, 80276, Taiwan

    Frank Huang-Chih Chou

  3. Department of Nursing, Meiho University, Neipu, Ping-Tong County, Taiwan

    Frank Huang-Chih Chou

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  1. Yun-Chang Chang
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  2. Frank Huang-Chih Chou
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Correspondence to Frank Huang-Chih Chou.

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Chang, YC., Chou, F.HC. Effects of Home Visit Intervention on Re-hospitalization Rates in Psychiatric Patients. Community Ment Health J 51, 598–605 (2015). https://doi.org/10.1007/s10597-014-9807-7

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