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Administration and Policy in Mental Health and Mental Health Services Research
Published in: Administration and Policy in Mental Health and Mental Health Services Research 4/2016

01-07-2016 | Original Article

Does the Hospital Predict Readmission? A Multi-level Survival Analysis Approach

Authors: Scott C. Leon, Alison M. Stoner, Daniel A. Dickson

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 4/2016

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Abstract

Time to psychiatric rehospitalization was predicted for a sample of 1473 Medicaid-insured youth in Illinois in 2005 and 2006. A multi-level model statistical strategy was employed to account for the fact that youth days to rehospitalization were nested within hospital and to test the hypothesis that hospitals would vary significantly in return rates, controlling for individual-level (e.g., symptom, demographic) variables. Hospitals did not vary significantly in days to rehospitalization. At the individual-level, level of externalizing behavior and residential treatment placement predicted a faster return to the hospital. These results support the perspective that hospital outcomes are best operationalized using variables tied more directly to the inpatient episode (e.g., LOS, reductions in acuity).
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Metadata
Title
Does the Hospital Predict Readmission? A Multi-level Survival Analysis Approach
Authors
Scott C. Leon
Alison M. Stoner
Daniel A. Dickson
Publication date
01-07-2016
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 4/2016
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-015-0654-9

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