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Multifaceted inpatient psychiatry approach to reducing readmissions: a pilot study.

CONTEXT
Access to psychiatric services, particularly inpatient psychiatric care, is limited and lacks comprehensiveness in rural areas.


PURPOSE
The purpose of this study was to evaluate the impact on readmission rates of a multifaceted inpatient psychiatry approach (MIPA) offered in a rural hospital.


METHODS
Readmissions within 30 days of patients who were admitted to an inpatient psychiatric unit using a MIPA model of care (N = 147) were compared to readmissions of a comparison group of patients who were admitted prior to the adoption of the MIPA (N = 37). Case mix differences were adjusted using multiple logistic regression analysis (N = 184).


FINDINGS
Patients treated in the MIPA model of care had lower odds of readmission within 30 days (odds ratio 0.14, 95% CI 0.02-0.87, P < .03).


CONCLUSIONS
Effective inpatient psychiatric care can be provided in rural hospitals.