Abstract

Background: Although much prior research has found a consistently positive volume-outcome relationship, there is scanty documentation on this issue in mental healthcare. This study examines the association between a hospitals' psychiatric inpatient volume and 30-day readmission rates. Methods: Using administrative data from Taiwan's National HealthInsurance Research Database for 2003, the likelihood of 30-day readmission is examined relative to the hospital's volume of voluntary psychiatric admissions and total bed-days. Results: As hospital volume increases, so too does the 30-day readmission rates for patients with schizophrenia, bipolar disorder and major depressive disorders. Conclusions: The positive volume-outcome relationship in patients suffering from psychiatric disorders suggests a different scenario from the 'practice makes perfect' phenomenon that may underlie the inverse volume-outcome relationship found among most physical disorders, both surgical and medical.

Original languageEnglish
Pages (from-to)669-672
Number of pages4
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume42
Issue number8
DOIs
Publication statusPublished - Aug 2007

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psychological care
Psychiatry
Patient Readmission
psychiatric hospital
Patient Admission
Major Depressive Disorder
Psychiatric Hospitals
schizophrenia
Taiwan
Bipolar Disorder
Research
Documentation
documentation
Inpatients
Schizophrenia
Databases
scenario
Delivery of Health Care

Keywords

  • Mental health
  • Readmission
  • Volume-outcome

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Is the volume-outcome relationship sustained in psychiatric care? / Lee, Hsin Chien; Lin, Herng Ching.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 42, No. 8, 08.2007, p. 669-672.

Research output: Contribution to journalArticle

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