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Association between length of hospital stay and implementation of discharge planning in acute psychiatric inpatients in Japan

Overview of attention for article published in International Journal of Mental Health Systems, May 2015
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1 X user
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1 peer review site
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1 Facebook page

Citations

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20 Dimensions

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118 Mendeley
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Title
Association between length of hospital stay and implementation of discharge planning in acute psychiatric inpatients in Japan
Published in
International Journal of Mental Health Systems, May 2015
DOI 10.1186/s13033-015-0015-9
Pubmed ID
Authors

Miharu Nakanishi, Junko Niimura, Michika Tanoue, Motoe Yamamura, Toyoaki Hirata, Nozomu Asukai

Abstract

Japan has introduced an acute psychiatric care unit to the public healthcare insurance program, but its requirement of a shorter length of stay could lead to discharges without proper discharge planning. The aim of this study was to examine the association between the implementation of discharge planning and the length of stay of acute psychiatric inpatients in Japan. This retrospective cross-sectional study included 449 patients discharged from the 'psychiatric emergency ward' of 66 hospitals during a two-week period from March 7 to 20, 2011. The assigned nurse or nursing assistant for each patient provided information on the implementation of discharge planning in the hospital stay. Approximately one quarter of the 449 patients (n = 122) received no support for coordination with post-discharge community care resources. The 122 patients who had received no support for community care coordination had a significantly lower mean age at admission, a shorter length of stay, and a higher rate of either no follow-up or unidentified post-discharge outpatient service than the other 327 patients. Multilevel linear regression analysis demonstrated a significantly greater length of stay among patients who were older, those who had a primary diagnosis of schizophrenia, those who were admitted compulsorily, those who received hospital outpatient services, and those who received community care coordination support from the assigned nurse or nursing assistant. The implementation of support for community care coordination did not indicate a significant association with these factors, which have been related to an increased risk of psychiatric readmission. Patients to whom the assigned nurse or nursing assistant provided support on community care coordination experienced a significantly greater length of hospital stay. The implementation of support for community care coordination did not indicate a significant association with these factors, which have been related to an increased risk of psychiatric readmission. The mental health policy should increase focus on discharge planning in the acute psychiatric setting to enhance a link between psychiatric inpatient care and post-discharge community care resources.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 118 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Japan 1 <1%
India 1 <1%
Unknown 116 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 23 19%
Student > Master 21 18%
Researcher 11 9%
Student > Postgraduate 8 7%
Student > Bachelor 8 7%
Other 26 22%
Unknown 21 18%
Readers by discipline Count As %
Medicine and Dentistry 31 26%
Nursing and Health Professions 24 20%
Psychology 15 13%
Social Sciences 11 9%
Agricultural and Biological Sciences 2 2%
Other 10 8%
Unknown 25 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 September 2016.
All research outputs
#13,944,553
of 22,807,037 outputs
Outputs from International Journal of Mental Health Systems
#482
of 718 outputs
Outputs of similar age
#133,698
of 267,111 outputs
Outputs of similar age from International Journal of Mental Health Systems
#6
of 10 outputs
Altmetric has tracked 22,807,037 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 718 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.3. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,111 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 4 of them.