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A pilot study of the “Continuation of Care” model in “revolving-door” patients

Published online by Cambridge University Press:  15 April 2020

A. Juven-Wetzler ,
D. Bar-Ziv ,
S. Cwikel-Hamzany ,
A. Abudy ,
N. Peri  and
J. Zohar
A. Juven-Wetzler
Affiliation:
Department of Psychiatry, Chaim Sheba Medical Center, Tel Hashomer, Israel
D. Bar-Ziv
Affiliation:
Department of Psychiatry, Chaim Sheba Medical Center, Tel Hashomer, Israel
S. Cwikel-Hamzany
Affiliation:
Department of Psychiatry, Chaim Sheba Medical Center, Tel Hashomer, Israel
A. Abudy
Affiliation:
Department of Psychiatry, Chaim Sheba Medical Center, Tel Hashomer, Israel
N. Peri
Affiliation:
Department of Psychiatry, Chaim Sheba Medical Center, Tel Hashomer, Israel
J. Zohar*
Affiliation:
Department of Psychiatry, Chaim Sheba Medical Center, Tel Hashomer, Israel
*
*Corresponding author. Tel.: +972-3530-3300; fax: +972-3535-2788. E-mail address: jzohar@post.tau.ac.il (J. Zohar).
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Abstract

Purpose:

The efficiency of continuation of care (COC) treatment by inpatient caregivers as compared to treatment administered by outpatient services for “revolving door” psychiatric patients was tested in this study. Number and days of hospitalization were examined.

Method:

All patients who were hospitalized three times or more during the past 12months were offered continuing follow-up in the ward, by the same staff, instead of being referred to the outpatient department. Information on number and length of hospitalizations before and after initiation of this care model was retrieved from the hospital computerized database.

Results:

Of the 36 patients meeting the criteria, 35 patients agreed to participate. The number of hospitalizations in the 18months following the index hospitalization was 1.79±3.51 as compared to 4.67±1.79 before the index hospitalization (p = 0.0002), and the number of days of hospitalization 18months after was 24±41.65 as compared to 119.71±69.31 before (p<0.0001).

Conclusion:

COC via inpatient follow-up significantly reduces the number and length of hospitalizations in “revolving door” psychiatric patients as compared to the traditional system of follow-up in an outpatient clinic.

Keywords

Economics and PsychiatryHealth EconomicsQuality of LifePsychiatry in EuropeQuality of Care
Type
Original articles
Information
European Psychiatry , Volume 27 , Issue 4 , May 2012 , pp. 229 - 233
Copyright
Copyright © Elsevier Masson SAS 2012

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