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  1. Continuity of care and readmission in two service systems : a comparative Victorian and Groningen case-register study.

    Article - En anglais

    Objective 

    We compared service consumption, continuity of care and risk of readmission in a record linkage follow-up study of cohorts of patients with schizophrenia and related disorders in Victoria (Australia) and in Groningen (The Netherlands).

    These areas are interesting to compare because mental health care is in a different stage of deinstitutionalization.

    More beds are available in Groningen and more community resources are available in Victoria.

    Method 

    The cohorts were followed for 4 years, since discharge from in-patient services using record linkage data available in the psychiatric case-registers in both areas.

    Survival analysis was used to study continuity of care and risk of readmission.

    Results 

    Available indicators showed a higher level of continuity of care in Victoria.

    While the relative risk of readmission was the same in both areas and not affected by aftercare contact after discharge, the number of days spent in hospital was much higher in the Groningen register area.

    Conclusion 

    These findings provide further support for earlier reports that the risk of readmission is predominantly affected by attributes of mental illness.

    However, the duration of admissions, is strongly affected by service system variables, including the provision of continuity of care.

    Mots-clés Pascal : Schizophrénie, Traitement, Communauté, Service santé, Consommation, Récidive, Facteur risque, Désinstitutionnalisation, Environnement social, Australie, Océanie, Etude comparative, Pays Bas, Europe, Organisation santé, Santé mentale, Homme, Psychose, Continuité soins

    Mots-clés Pascal anglais : Schizophrenia, Treatment, Community, Health service, Consumption, Relapse, Risk factor, Desinstitutionalization, Social environment, Australia, Oceania, Comparative study, Netherlands, Europe, Public health organization, Mental health, Human, Psychosis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0417691

    Code Inist : 002B18I11. Création : 22/03/2000.