Titre
Linking primary and secondary care after psychiatric hospitalisation: comparison between transitional case management setting and routine care for common mental disorders
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Bonsack, Charles
Auteure/Auteur
Golay, Philippe
Auteure/Auteur
Gibellini Manetti, Silvia
Auteure/Auteur
Gebel, Sophia
Auteure/Auteur
Ferrari, Pascale
Auteure/Auteur
Besse, Christine
Auteure/Auteur
Favrod, Jérôme
Auteure/Auteur
Morandi, Stéphane
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1664-0640
Statut éditorial
Publié
Date de publication
2016
Volume
7
Première page
96
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article Publication Status: epublish
Résumé
Objectives. To improve engagement with care and prevent psychiatric readmission, a transitional case management intervention has been established to link with primary and secondary care. The intervention begins during hospitalisation and ends one month after discharge. The goal of this study was to assess the effectiveness of this short intervention in terms of the level of engagement with outpatient care and the rate of readmissions during one year after discharge.
Methods. Individuals hospitalised with common mental disorders were randomly assigned to be discharged to routine follow up by private psychiatrists or general practitioners with (n=51) or without (n=51) the addition of a transitional case management intervention. Main outcome measures were number of contacts with outpatient care and rate of readmission during twelve months after discharge.
Results. Transitional case management patients reported more contacts with care service in the period between 1 to 3 month after discharge (p = .004). Later after discharge (3-12 month), no significant differences of number of contacts remained. The transitional case management intervention had no statistically significant beneficial impact on the rate of readmission (Hazard ratio = 0.585, p = .114).
Conclusions. The focus on follow-up after discharge during hospitalisation leads to an increased short term rate of engagement with ambulatory care despite no differences between the two groups after 3 month of follow-up. This short transitional intervention did however not significantly reduce the rate of readmissions during the first year following discharge.
Trial registration number. ClinicalTrials.gov Identifier NCT02258737.
Methods. Individuals hospitalised with common mental disorders were randomly assigned to be discharged to routine follow up by private psychiatrists or general practitioners with (n=51) or without (n=51) the addition of a transitional case management intervention. Main outcome measures were number of contacts with outpatient care and rate of readmission during twelve months after discharge.
Results. Transitional case management patients reported more contacts with care service in the period between 1 to 3 month after discharge (p = .004). Later after discharge (3-12 month), no significant differences of number of contacts remained. The transitional case management intervention had no statistically significant beneficial impact on the rate of readmission (Hazard ratio = 0.585, p = .114).
Conclusions. The focus on follow-up after discharge during hospitalisation leads to an increased short term rate of engagement with ambulatory care despite no differences between the two groups after 3 month of follow-up. This short transitional intervention did however not significantly reduce the rate of readmissions during the first year following discharge.
Trial registration number. ClinicalTrials.gov Identifier NCT02258737.
PID Serval
serval:BIB_BB6F37B76180
PMID
Open Access
Oui
Date de création
2016-05-23T08:39:23.880Z
Date de création dans IRIS
2025-05-20T21:13:13Z
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Nom
BIB_BB6F37B76180.P001.pdf
Version du manuscrit
published
Taille
467.19 KB
Format
Adobe PDF
PID Serval
serval:BIB_BB6F37B76180.P001
URN
urn:nbn:ch:serval-BIB_BB6F37B761808
Somme de contrôle
(MD5):d4a7eb98f231a4c582a87d406f6dea28