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Published Online: 15 October 2014

Potentially Preventable Medical Hospitalizations Among Maryland Residents With Mental Illness, 2005–2010

Abstract

Objective

The goal of this study was to assess the association between mental illness and potentially preventable ambulatory care–sensitive (ACS) hospitalizations among children, adults, and older adults.

Methods

This was a retrospective, cross-sectional study that used 2005–2010 Maryland hospital discharge data (N=508,142 hospitalizations). Logistic regression was used to assess the associations between mental illness and ACS hospitalizations.

Results

Any mental illness diagnosis was associated with heightened odds of ACS hospitalization in all three age groups. Any mental illness diagnosis was associated with 84% higher odds of ACS hospitalization among children, 32% higher odds of ACS hospitalization among adults, and 30% higher odds of ACS hospitalization among older adults.

Conclusions

Mental illness was associated with increased odds of ACS hospitalization across the life span. Future research should examine the potential for integrated medical and behavioral health care models to address the poorly controlled somatic conditions that lead to ACS hospitalizations among persons with mental illness.

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Go to Psychiatric Services
Go to Psychiatric Services

Cover: The Nation Makers, by Howard Pyle 1903. Oil on canvas. Collection Brandywine River Museum of Art, purchased through a grant from the Mabel Pew Myrin Trust, 1984.

Psychiatric Services
Pages: 951 - 953
PubMed: 26037005

History

Published in print: July 2014
Published online: 15 October 2014

Authors

Details

Emma Elizabeth McGinty, Ph.D., M.S.
Dr. McGinty is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (e-mail: [email protected]). Dr. Sridhara is with the Maryland Health Care Commission, Baltimore.
Srinivas Sridhara, Ph.D., M.H.S.
Dr. McGinty is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (e-mail: [email protected]). Dr. Sridhara is with the Maryland Health Care Commission, Baltimore.

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