The Effectiveness of a Peer-Staffed Crisis Respite Program as an Alternative to Hospitalization.
Psychiatr Serv
; 69(10): 1069-1074, 2018 10 01.
Article
en En
| MEDLINE
| ID: mdl-30071793
ABSTRACT
OBJECTIVE:
This study assessed whether peer-staffed crisis respite centers implemented in New York City in 2013 as an alternative to hospitalization reduced emergency department (ED) visits, hospitalizations, and Medicaid expenditures for individuals enrolled in Medicaid.METHODS:
This study used Medicaid claims and enrollment data for January 2009 through April 2016 to estimate impacts on ED visits, hospitalizations, and total Medicaid expenditures by using a difference-in-differences model with a matched comparison group. The study sample included 401 respite center clients and 1,796 members of the comparison group.RESULTS:
In the month of crisis respite use and the 11 subsequent months, Medicaid expenditures were on average $2,138 lower per Medicaid-enrolled month and there were 2.9 fewer hospitalizations for crisis respite clients than would have been expected in the absence of the intervention (p<.01).CONCLUSIONS:
Peer-staffed crisis respite services resulted in lowered rates of Medicaid-funded hospitalizations and health expenditures for participants compared with a comparison group. The findings suggest that peer-staffed crisis respites can achieve system-level impacts.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Evaluación de Procesos y Resultados en Atención de Salud
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Grupo Paritario
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Cuidados Intermitentes
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Apoyo Social
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Educación del Paciente como Asunto
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Medicaid
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Gastos en Salud
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Servicio de Urgencia en Hospital
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Técnicos Medios en Salud
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Automanejo
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
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Prognostic_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Psychiatr Serv
Asunto de la revista:
PSIQUIATRIA
Año:
2018
Tipo del documento:
Article