Effects of Home Visit Intervention on Re-hospitalization Rates in Psychiatric Patients

Abstract

To examine the home visit intervention (HoVI) effects on the re-hospitalization rate and medical costs in patients with schizophrenia or other psychiatric disorders. The subjects who received more than 3 HoVIs were defined as the HoVI group, whereas the subjects who received equal to or less than 3 HoVIs were defined as the HoVI < 4 group; the subjects who had never received an HoVI were defined as the non-HoVI group. Differences in the re-hospitalization rates and National Health Insurance (NHI) costs among the three groups were examined. The re-hospitalization rate of the HoVI group was significantly lower than that of the non-HoVI group. The hospitalization days and the NHI costs of the HoVI group were also lower than those of the non-HoVI group. However, the HoVI < 4 group was not different than the non-HoVI group regarding the re-hospitalization rate or the hospitalization days. The re-hospitalization rate was significantly higher before compared with after the HoVIs. The NHI costs were significantly higher before compared with after the HoVIs. HoVIs (More than 3 HoVIs) produced a lower re-hospitalization rate, number of hospitalization days, and NHI costs in patients who received care through the Home Visit. Project to strengthen the Community Rehabilitation Program.

To explore the efficacy of community rehabilitation for facilitating daily function among patients with mental illness

“…The leisure activities in the home‐care group depended on the families or self‐arrangement. In addition, many previous studies have shown that home care can help with multiple life functions and can help patients with severe mental illness to live independently in the community …”

Mental Health Nursing Education in Brazil: Perspectives for Primary Health Care

“…17 In the findings of this study, the professors use home visiting to access the population as this is an important way to reduce the search for specialized services, as well as to reduce mental health hospitalization rates. 18 The extension activities in mental health proposed by the public HEIs has been a choice of professors for teaching mental health in PHC, and offers the student the opportunity to develop in articulation with the social reality. The Mental Health Academic Leagues stand out for taking health promotion actions in the community, as well as recovery, maintenance and rehabilitation actions, in addition to promoting in the student the scientific reasoning and critical thinking that add values and differential in their formation.…”

A mental health home visit service partnership intervention on improving patients' satisfaction

“…Home visits can reduce re-hospitalization rate from 42.1% to 11.6% (Chang & Chou, 2015). Hospital stay duration and medical costs are also significantly decreased (Chang & Chou, 2015;Sharifi et al, 2012).…”

“…Home visits can reduce re-hospitalization rate from 42.1% to 11.6% (Chang & Chou, 2015). Hospital stay duration and medical costs are also significantly decreased (Chang & Chou, 2015;Sharifi et al, 2012). However, it is not easy for patients with severe mental health problems to return to the community successfully; over 75% of such patients found it was difficult to reach this goal (Miyamoto, Hashimoto-Koichi, Akiyama, & Takamura, 2015).…”