دورية أكاديمية
Factors related to missed first appointments after discharge among patients with schizophrenia in Taiwan.
| العنوان: | Factors related to missed first appointments after discharge among patients with schizophrenia in Taiwan. |
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| المؤلفون: | Cheng KD; Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan., Huang CJ; Department of Psychiatry, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan; Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan., Tsang HY; Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan., Lin CH; Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan; Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Nursing, Fooyin University, Kaohsiung, Taiwan. Electronic address: chua.lin@msa.hinet.net. |
| المصدر: | Journal of the Formosan Medical Association = Taiwan yi zhi [J Formos Med Assoc] 2014 Jul; Vol. 113 (7), pp. 436-41. Date of Electronic Publication: 2012 Oct 29. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Formosan Medical Association, Elsevier Country of Publication: Singapore NLM ID: 9214933 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0929-6646 (Print) Linking ISSN: 09296646 NLM ISO Abbreviation: J Formos Med Assoc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2003- : Singapore : Formosan Medical Association, Elsevier Original Publication: Taipei, Taiwan : Formosan Medical Association, [1991- |
| مواضيع طبية MeSH: | Appointments and Schedules* , Patient Compliance* , Patient Readmission*, Alcoholism/*psychology , Schizophrenia/*therapy, Adult ; Antipsychotic Agents/therapeutic use ; Diagnosis, Dual (Psychiatry) ; Female ; Humans ; Male ; Middle Aged ; Patient Discharge ; Risk Factors ; Schizophrenia/drug therapy ; Sex Factors ; Taiwan ; Time Factors ; Treatment Refusal |
| مستخلص: | Background/purpose: This study assessed risk factors associated with missing first appointments after discharge in a cohort of patients with schizophrenia and compared the time to rehospitalization between patients who missed first appointments and those who attended. Methods: This study monitored all inpatients with schizophrenia who were discharged from a psychiatric hospital between January 1, 2006, and December 31, 2006. We compared the clinical variables between patients who missed first appointments and those who attended. Time to rehospitalization within 365 days after discharge was measured using the Kaplan-Meier method. Results: Relative to patients who attended first appointments, patients who missed were significantly more likely to be male [odds ratio (OR) = 1.56, p = 0.021], to have comorbid alcohol abuse/dependence (OR = 1.92, p = 0.002), to receive typical antipsychotic agents at discharge (OR = 1.64, p = 0.016), and to have higher rates of discharge against medical advice (OR = 3.59, p < 0.001). There were significant differences in time to rehospitalization between the two groups during the 365-day follow-up period (p < 0.001). Conclusion: Male sex, receipt of typical antipsychotic agents at discharge, comorbid alcohol abuse/dependence, and discharge against medical advice were associated with an increased likelihood of missing first appointments after discharge. Furthermore, patients with schizophrenia who did not comply with the first outpatient appointment after discharge were more likely to be rehospitalized. Future studies are needed in many different mental health systems to better generalize the findings in this study. (Copyright © 2012. Published by Elsevier B.V.) |
| فهرسة مساهمة: | Keywords: atypical antipsychotic agents; missed first appointments; rehospitalization; schizophrenia |
| المشرفين على المادة: | 0 (Antipsychotic Agents) |
| تواريخ الأحداث: | Date Created: 20140626 Date Completed: 20150923 Latest Revision: 20161013 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.jfma.2012.09.016 |
| PMID: | 24961185 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 0929-6646 |
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| DOI: | 10.1016/j.jfma.2012.09.016 |