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dc.contributor.authorWheeler, A
dc.contributor.authorMoyle, S
dc.contributor.authorJansen, C
dc.contributor.authorRobinson, E
dc.contributor.authorVanderpyl, J
dc.date.accessioned2017-05-03T15:42:40Z
dc.date.available2017-05-03T15:42:40Z
dc.date.issued2011
dc.date.modified2012-02-16T05:41:49Z
dc.identifier.issn1175-8716
dc.identifier.urihttp://hdl.handle.net/10072/42831
dc.description.abstractAim This paper describes a follow-up of acute psychiatric hospital contact in Auckland, New Zealand for an admission cohort in the 5-years past an index admission (published in the NZMJ in 2005).1 Methods A 5-year follow-up study of hospital psychiatric service utilisation by 924 patients admitted (index admission) in Auckland during 2000. Hospital admissions within New Zealand for this population were extracted from electronic records. Relevant demographic information (gender, age and ethnicity) and clinical data (primary diagnosis at index admission and admission history) were included for each person. Descriptive analysis of inpatient data and negative binomial regression models were conducted. Results Of 924 patients, 38.5% had no readmissions anywhere in New Zealand in the 5-years following index discharge. 41.0% were readmitted within 12 months and 61.4% were readmitted within 5 years of index discharge. Only 5.6% experienced an admission every year for the 5-years post index admission. Readmission was least likely for those with index discharge diagnosis of depression. A history of admissions prior to index admission and Maori ethnicity were characteristics associated with higher numbers of readmission. Those who were younger, or a diagnosis of schizophrenia/schizoaffective disorder or previous admissions tended to have longer total length of stay over the 5-years. Conclusions More than a third of patients had no further hospital contact and the two factors associated with readmission were a history of previous admissions and Maori ethnicity. Reliable community-based data needs to be a priority to enable exploration of community service utilisation and impact of service alternatives to hospital for acute care.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent279086 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherNew Zealand Medical Association
dc.publisher.placeNew Zealand
dc.publisher.urihttp://journal.nzma.org.nz/journal/abstract.php?id=4712
dc.publisher.urihttp://journal.nzma.org.nz/journal/124-1336/4712/
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom30
dc.relation.ispartofpageto38
dc.relation.ispartofissue1336
dc.relation.ispartofjournalThe New Zealand Medical Journal
dc.relation.ispartofvolume124
dc.rights.retentionY
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchMental health services
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode420313
dc.titleFive-year follow-up of an acute psychiatric admission cohort in Auckland, New Zealand
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2011 New Zealand Medical Association. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2011
gro.hasfulltextFull Text
gro.griffith.authorWheeler, Amanda


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