The association between readmission rates and length of stay for schizophrenia: A 3-year population-based study

Variations in Performance of Mental Health Providers in the English NHS: An Analysis of the Relationship Between Readmission Rates and Length-of-Stay

“…Shorter initial hospital stays have been shown to be related to higher readmissions (Appleby et al 1993;Boden et al 2011;Canadian Institute for Health Information 2008;Figueroa et al 2004;Lin et al 2006) but a long LOS has also been found to be associated with an increased risk of multiple readmissions (Korkeila et al 1998). Efforts to reduce costs may drive shorter LOS (Capdevielle and Ritchie 2008;Lin et al 2006) but risk compromising the quality of care leading to readmission which can in fact increase overall costs (Lin et al 2006). Readmissions that take place within a relatively short period after discharge may be negatively associated with LOS due to the need for a longer inpatient stay to stabilise symptoms and provide adequate treatment.…”

Decreased Length of Stay and Cumulative Hospitalized Days Despite Increased Patient Admissions and Readmissions in an Area of Urban Poverty

“…Readmission within 1 month might be more indicative of inadequate care during the index admission than readmission within 12 months. Nonetheless, studies have shown both increased 30-day readmissions with shorter initial length of stay in psychiatric patients 22 and also increased 30-day readmissions with longer initial length of stay in general medical patients 4,23 , geriatric patients 15 , and surgical patients 24 . Clearly length of stay is associated not only with patterns of medical practice, but also with severity of illness, so that observational studies have, at best, a limited ability to delineate the relationships between short length of stay, 30-day readmission rates, and quality of health care.…”

Assessment of Psychiatric Outcomes in Japan Based on Diagnostic Procedure Combination Information

“…Third, we also need to be careful in generalizing the findings to other medical facilities in Japan, given that the present study used data from a single psychiatric institution. Fourth, this study did not obtain information about patients' medical histories even though a patient's medical history is of great clinical importance when providing psychiatric care [32,33]. However, because no national database for medical information, including medical histories, exists in Japan, it is currently impossible to accurately evaluate a patient's present status on the basis of his or her history.…”