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Title of Journal: Soc Psychiatry Psychiatr Epidemiol

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Abbravation: Social Psychiatry and Psychiatric Epidemiology

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Steinkopff-Verlag

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DOI

10.1016/0021-9681(78)90018-8

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1433-9285

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What leads to frequent rehospitalisation when com

Authors: Shailesh Kumar Elizabeth Robinson Vinod Kumar Sinha
Publish Date: 2014/02/01
Volume: 37, Issue: 9, Pages: 435-440
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Abstract

Background Treatment programmes are largely hospital based in developing countries and yet research on factors predicting frequent rehospitalisation remains scarce from them This crosssectional study of factors predictive of frequent rehospitalisation explored whether factors reported from developed countries could apply to India Methods Information was collected on four dimensions sociodemographic sociocultural treatment and illness variables from 90 patients readmitted to a teaching psychiatric institute in India over a 3 month period Patients were grouped into Frequently Rehospitalised FR with three or more admissions to hospital in the last 18 months and Less Frequently Rehospitalised LFR with two or fewer admissions in the last 18 months Results Support available for treatment days spent in hospital and cost of treatment had a significant effect on whether the patient was more frequently hospitalised The place of domicile tended to have an effect on the frequency of hospitalisation Conclusions Factors predictive of frequent rehospitalisation reported in this study differed from those in developed countries The above variables identify high users of inpatient beds who may be targeted for specific interventions to reduce rehospitalisation rates

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