Variations in Performance of Mental Health Providers in the English NHS: An Analysis of the Relationship Between Readmission Rates and Length-of-Stay

详细信息    查看全文

• 作者：Valerie Moran ; Rowena Jacobs ; Anne Mason
• 关键词：Mental health providers ; Performance ; Multilevel modelling ; Length ; of ; stay ; Readmission rates
• 刊名：Administration and Policy in Mental Health and Mental Health Services Research
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：44
• 期：2
• 页码：188-200
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Public Health; Health Administration; Clinical Psychology; Psychiatry; Health Informatics;
• 出版者：Springer US
• ISSN：1573-3289
• 卷排序：44

文摘

Length-of-stay (LOS) for inpatient mental health care is a major driver of variation in resource use internationally. We explore determinants of LOS in England, focusing on the impact of emergency readmission rates which can serve as a measure of the quality of care. Data for 2009/2010 and 2010/2011 are analysed using hierarchical and non-hierarchical models. Unexplained residual variation among providers is quantified using Empirical Bayes techniques. Diagnostic, treatment and patient-level demographic variables are key drivers of LOS. Higher emergency readmission rates are associated with shorter LOS. Ranking providers by residual variation reveals significant differences, suggesting some providers can improve performance.