Managed health care services for people with mental retardation: impact on inpatient utilization.
All admissions of people with mental retardation to a community hospital during one year were examined to determine the effects of a managed-care model on selected outcome variables.
Hospitalization outcomes for patients receiving health care services through the program (care coordination group) were compared to those not enrolled (usual care group).
Patients in the care coordination group were found to have shorter hospital stays, when adjusted for diagnosis-related groups; fewer readmissions; and were less severely ill upon admission.
Cost data were extrapolated to show that costs of care coordination activities were partially offset by reductions in inpatient utilization.
Mots-clés Pascal : Psychiatrie communautaire, Hôpital général, Arriération mentale, Déficience intellectuelle, Service santé, Hospitalisation, Durée, Economie santé, Santé mentale, Traitement communautaire, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Community psychiatry, General hospital, Mental retardation, Intellectual deficiency, Health service, Hospitalization, Duration, Health economy, Mental health, Community treatment, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0021659
Code Inist : 002B18H05B. Création : 199406.