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BMC Health Services Research
Published in: BMC Health Services Research 1/2021

Open Access 01-12-2021 | Research article

Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness

Authors: Hayley D. Germack, Khadejah Mahmoud, Mandy Cooper, Heather Vincent, Krista Koller, Grant R. Martsolf

Published in: BMC Health Services Research | Issue 1/2021

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Abstract

Background

Patients with serious mental illness (SMI) are vulnerable to medical-surgical readmissions and emergency department visits.

Methods

We studied 1,914,619 patients with SMI discharged after medical-surgical admissions in Florida and New York between 2012 and 2015 and their revisits to the hospital within 30 days of discharge.

Results

Patients with SMI from the most disadvantaged communities had greater adjusted 30-day revisit rates than patients from less disadvantaged communities. Among those that experienced a revisit, patients from the most disadvantaged communities had 7.3 % greater 30-day observation stay revisits.

Conclusions

These results suggest that additional investments are needed to ensure that patients with SMI from the most disadvantaged communities are receiving appropriate post-discharge care.
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Metadata
Title
Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness
Authors
Hayley D. Germack
Khadejah Mahmoud
Mandy Cooper
Heather Vincent
Krista Koller
Grant R. Martsolf
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2021
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-021-06605-y

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