The Nordic Comparative Study on Sectorized Psychiatry: continuity of care related to characteristics of the psychiatric services and the patients

1998 ◽  
Vol 33 (11) ◽  
pp. 521-527 ◽  
Author(s):  
O. Saarento ◽  
T. Öiesvold ◽  
S. Sytema ◽  
G. Göstas ◽  
M. Kastrup ◽  
...  
1998 ◽  
Vol 52 (4) ◽  
pp. 295-303 ◽  
Author(s):  
Outi Saarento ◽  
Görgen Göstas ◽  
Sten Muus ◽  
Mikael Sandlund ◽  
Hanne Vinding ◽  
...  

1995 ◽  
Vol 91 (1) ◽  
pp. 41-47 ◽  
Author(s):  
L. Hansson ◽  
T. Öiesvold ◽  
G. Göstas ◽  
M. Kastrup ◽  
O. Lönnerberg ◽  
...  

1995 ◽  
Vol 92 (3) ◽  
pp. 202-207 ◽  
Author(s):  
O. Saarento ◽  
T. Öiesvold ◽  
G. Göstas ◽  
A. Lindhardt ◽  
M. Sandlund ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhong Li ◽  
Sayward E. Harrison ◽  
Xiaoming Li ◽  
Peiyin Hung

Abstract Background Access to psychiatric care is critical for patients discharged from hospital psychiatric units to ensure continuity of care. When face-to-face follow-up is unavailable or undesirable, telepsychiatry becomes a promising alternative. This study aimed to investigate hospital- and county-level characteristics associated with telepsychiatry adoption. Methods Cross-sectional national data of 3475 acute care hospitals were derived from the 2017 American Hospital Association Annual Survey. Generalized linear regression models were used to identify characteristics associated with telepsychiatry adoption. Results About one-sixth (548 [15.8%]) of hospitals reported having telepsychiatry with a wide variation across states. Rural noncore hospitals were less likely to adopt telepsychiatry (8.3%) than hospitals in rural micropolitan (13.6%) and urban counties (19.4%). Hospitals with both outpatient and inpatient psychiatric care services (marginal difference [95% CI]: 16.0% [12.1% to 19.9%]) and hospitals only with outpatient psychiatric services (6.5% [3.7% to 9.4%]) were more likely to have telepsychiatry than hospitals with neither psychiatric services. Federal hospitals (48.9% [32.5 to 65.3%]), system-affiliated hospitals (3.9% [1.2% to 6.6%]), hospitals with larger bed size (Quartile IV vs. I: 6.2% [0.7% to 11.6%]), and hospitals with greater ratio of Medicaid inpatient days to total inpatient days (Quartile IV vs. I: 4.9% [0.3% to 9.4%]) were more likely to have telepsychiatry than their counterparts. Private non-profit hospitals (− 6.9% [− 11.7% to − 2.0%]) and hospitals in counties designated as whole mental health professional shortage areas (− 6.6% [− 12.7% to − 0.5%]) were less likely to have telepsychiatry. Conclusions Prior to the Covid-19 pandemic, telepsychiatry adoption in US hospitals was low with substantial variations by urban and rural status and by state in 2017. This raises concerns about access to psychiatric services and continuity of care for patients discharged from hospitals.


Health Policy ◽  
2018 ◽  
Vol 122 (7) ◽  
pp. 737-745 ◽  
Author(s):  
Jayson O. Swanson ◽  
Verena Vogt ◽  
Leonie Sundmacher ◽  
Terje P. Hagen ◽  
Tron Anders Moger

2012 ◽  
Vol 36 (10) ◽  
pp. 364-365 ◽  
Author(s):  
Helen Killaspy

SummaryIn this issue, Dr Lodge makes a plea for continuity of care in the face of the increased specialisation of mental healthcare over recent years. However, continuity of care is not a straightforward concept and its relationship to clinical outcome is not established. The increased specialisation of mental healthcare reflects an evolving evidence base that has increased our understanding of mental illness and the treatments and delivery systems that are most effective. In other words, specialisation is the sign of a progressive field.


1999 ◽  
Vol 100 (3) ◽  
pp. 220-228 ◽  
Author(s):  
T. øiesvold ◽  
O. Saarento ◽  
S. Sytema ◽  
L. Christiansen ◽  
G. Göstas ◽  
...  

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