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Original Articles

Readmission of psychiatric patients in India: sociodemographic factors

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Pages 398-409 | Received 11 Dec 2012, Accepted 10 Aug 2013, Published online: 11 Oct 2013
 

Abstract

Readmission is a complex and common phenomenon. This study intends to analyse the sociodemographic and clinical factors associated with readmission and also compare it with similar study done at same institute in India 25 years earlier. A medical records review for all admissions in an adult psychiatry unit of a specialised hospital in southern India was done for the period from July 2010 to June 2011. Patients' sociodemographic characteristics and clinical details were recorded and statistical tests like chi-square test and logistic regression were applied. These data and results were also compared to a similar study done at the same centre 25 years earlier. Of all the admissions during the study period, 27.2% were readmissions. Female sex, income below the poverty level and higher education were predictive of readmission. In comparison with readmitted group of the earlier study, there was a significant difference with regards to age, education, marital status and duration of hospital stay in the current readmitted group. This study emphasises the importance of interplay of sociodemographic factors in utilisation and effectiveness of psychiatric care and services. Certain sociodemographic factors influence and determine readmission rates.

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