Factors related to missed first appointments after discharge among patients with schizophrenia in Taiwan

Background/Purpose This study assessed risk factors associated with missing first appointments after discharge in a cohort of patients with schizophrenia and compared the time to rehospitalization between patients who missed first appointments and those who attended. Methods This study monitored all...

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Bibliographic Details
Published in:Journal of the Formosan Medical Association 2014-07, Vol.113 (7), p.436-441
Main Authors: Cheng, Kai-Da, Huang, Chun-Jen, Tsang, Hin-Yeung, Lin, Ching-Hua
Format: Article
Language:English
Subjects:
Adult
Alcoholism - psychology
Antipsychotic Agents - therapeutic use
Appointments and Schedules
atypical antipsychotic agents
Diagnosis, Dual (Psychiatry)
Female
Humans
Internal Medicine
Male
Middle Aged
missed first appointments
Patient Compliance
Patient Discharge
Patient Readmission
rehospitalization
Risk Factors
schizophrenia
Schizophrenia - drug therapy
Schizophrenia - therapy
Sex Factors
Taiwan
Time Factors
Treatment Refusal
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Summary:Background/Purpose This study assessed risk factors associated with missing first appointments after discharge in a cohort of patients with schizophrenia and compared the time to rehospitalization between patients who missed first appointments and those who attended. Methods This study monitored all inpatients with schizophrenia who were discharged from a psychiatric hospital between January 1, 2006, and December 31, 2006. We compared the clinical variables between patients who missed first appointments and those who attended. Time to rehospitalization within 365 days after discharge was measured using the Kaplan-Meier method. Results Relative to patients who attended first appointments, patients who missed were significantly more likely to be male [odds ratio (OR) = 1.56, p  = 0.021], to have comorbid alcohol abuse/dependence (OR = 1.92, p  = 0.002), to receive typical antipsychotic agents at discharge (OR = 1.64, p  = 0.016), and to have higher rates of discharge against medical advice (OR = 3.59, p  
ISSN:0929-6646
DOI:10.1016/j.jfma.2012.09.016