Document Detail


Re-hospitalization of first-in-life admitted schizophrenic patients before and after rehabilitation legislation: a comparison of two national cohorts.
MedLine Citation:
PMID:  17492405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In line with the worldwide trend of deinstitutionalization and development of community facilities, a rehabilitation legislation was passed in Israel in 2000. Its aim was to establish an infrastructure for the chronic mentally ill. The objective of the present study was to evaluate the impact of this legislation on the re-hospitalization of schizophrenic patients. METHOD: Re-hospitalization rates within 3 years of discharge were compared for two cohorts of first-in-life hospitalized schizophrenics, those discharged in 1990-1991 and those discharged in 2000-2001, after the passing of the law. Possible confounding variables were controlled for by logistic regression analyses. The same analysis was done for patients with affective disorders who are not generally beneficiaries of this legislation. RESULTS: In 2000-2001, the re-hospitalization rate was significantly lower than in 1990-1991 for schizophrenic patients with an in-patient stay longer than 6 months (chronic patients) but not for short-stay schizophrenics or for affective patients. CONCLUSION: The study suggests that the expanding of the rehabilitation facilities in the community by legislation leads to increase in the survival in the community of schizophrenic patients.
Authors:
Alexander Grinshpoon; Moshe Z Abramowitz; Yaacov Lerner; Nelly Zilber
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Publication Detail:
Type:  Journal Article     Date:  2007-02-13
Journal Detail:
Title:  Social psychiatry and psychiatric epidemiology     Volume:  42     ISSN:  0933-7954     ISO Abbreviation:  Soc Psychiatry Psychiatr Epidemiol     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-11     Completed Date:  2007-09-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804358     Medline TA:  Soc Psychiatry Psychiatr Epidemiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  355-9     Citation Subset:  IM    
Affiliation:
Mental Health Services, Ministry of Health, POB 1176, Jerusalem, Israel. moshe.abramowitz@moh.health.gov.il
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Chronic Disease
Cohort Studies
Community Mental Health Services / legislation & jurisprudence*
Deinstitutionalization / legislation & jurisprudence*
Demography
Female
Humans
Incidence
Israel / epidemiology
Male
Middle Aged
Patient Readmission / statistics & numerical data*
Prevalence
Schizophrenia / epidemiology*,  rehabilitation*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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