Reduced mortality among Department of Veterans Affairs patients with schizophrenia or bipolar disorder lost to follow-up and engaged in active outreach to return for care
We determined whether contacting Department of Veterans Affairs (VA) patients with schizophrenia or bipolar disorders (serious mental illness [SMI]) who had dropped out of care for prolonged periods resulted in reengagement with VA services and decreased mortality. We developed a list of patients wi...
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Veröffentlicht in: | American journal of public health (1971) 2012-03, Vol.102 Suppl 1 (S1), p.S74-S79 |
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container_title | American journal of public health (1971) |
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creator | Davis, Chester L Kilbourne, Amy M Blow, Frederic C Pierce, John R Winkel, Bernard M Huycke, Edward Langberg, Robert Lyle, David Phillips, Yancy Visnic, Stephanie |
description | We determined whether contacting Department of Veterans Affairs (VA) patients with schizophrenia or bipolar disorders (serious mental illness [SMI]) who had dropped out of care for prolonged periods resulted in reengagement with VA services and decreased mortality.
We developed a list of patients with SMI who were last treated in fiscal years 2005 to 2006, and were lost to follow-up care for at least 1 year. VA medical centers used our list to contact patients and schedule appointments. Additional VA administrative data on patient utilization and mortality through May 2009 were analyzed.
About 72% (2375 of 3306) of the patients who VA staff attempted to contact returned for VA care. The mortality rate of returning patients was significantly lower than that for patients not returning (0.5% vs 3.9%; adjusted odds ratio = 5.8; P < .001), after demographic and clinical factors were controlled.
The mortality rate for returning patients with SMI was almost 6 times less than for those who did not return for medical care. Proactive outreach might result in patients returning to care and should be implemented to reengage this vulnerable group. |
doi_str_mv | 10.2105/AJPH.2011.300502 |
format | Article |
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We developed a list of patients with SMI who were last treated in fiscal years 2005 to 2006, and were lost to follow-up care for at least 1 year. VA medical centers used our list to contact patients and schedule appointments. Additional VA administrative data on patient utilization and mortality through May 2009 were analyzed.
About 72% (2375 of 3306) of the patients who VA staff attempted to contact returned for VA care. The mortality rate of returning patients was significantly lower than that for patients not returning (0.5% vs 3.9%; adjusted odds ratio = 5.8; P < .001), after demographic and clinical factors were controlled.
The mortality rate for returning patients with SMI was almost 6 times less than for those who did not return for medical care. Proactive outreach might result in patients returning to care and should be implemented to reengage this vulnerable group.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2011.300502</identifier><identifier>PMID: 22390607</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>Adult ; Aged ; Bipolar Disorder - mortality ; Comorbidity ; Female ; Humans ; Lost to Follow-Up ; Male ; Middle Aged ; Patient Dropouts ; Research and Practice ; Risk Factors ; Schizophrenia - mortality ; United States - epidemiology ; United States Department of Veterans Affairs ; Veterans - psychology</subject><ispartof>American journal of public health (1971), 2012-03, Vol.102 Suppl 1 (S1), p.S74-S79</ispartof><rights>American Public Health Association 2012 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-1c96c0d9ef243f84679021babdab6291d134e991b7fd8cea2a76dd98ce712f933</citedby><cites>FETCH-LOGICAL-c395t-1c96c0d9ef243f84679021babdab6291d134e991b7fd8cea2a76dd98ce712f933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3496434/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3496434/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22390607$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davis, Chester L</creatorcontrib><creatorcontrib>Kilbourne, Amy M</creatorcontrib><creatorcontrib>Blow, Frederic C</creatorcontrib><creatorcontrib>Pierce, John R</creatorcontrib><creatorcontrib>Winkel, Bernard M</creatorcontrib><creatorcontrib>Huycke, Edward</creatorcontrib><creatorcontrib>Langberg, Robert</creatorcontrib><creatorcontrib>Lyle, David</creatorcontrib><creatorcontrib>Phillips, Yancy</creatorcontrib><creatorcontrib>Visnic, Stephanie</creatorcontrib><title>Reduced mortality among Department of Veterans Affairs patients with schizophrenia or bipolar disorder lost to follow-up and engaged in active outreach to return for care</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>We determined whether contacting Department of Veterans Affairs (VA) patients with schizophrenia or bipolar disorders (serious mental illness [SMI]) who had dropped out of care for prolonged periods resulted in reengagement with VA services and decreased mortality.
We developed a list of patients with SMI who were last treated in fiscal years 2005 to 2006, and were lost to follow-up care for at least 1 year. VA medical centers used our list to contact patients and schedule appointments. Additional VA administrative data on patient utilization and mortality through May 2009 were analyzed.
About 72% (2375 of 3306) of the patients who VA staff attempted to contact returned for VA care. The mortality rate of returning patients was significantly lower than that for patients not returning (0.5% vs 3.9%; adjusted odds ratio = 5.8; P < .001), after demographic and clinical factors were controlled.
The mortality rate for returning patients with SMI was almost 6 times less than for those who did not return for medical care. Proactive outreach might result in patients returning to care and should be implemented to reengage this vulnerable group.</description><subject>Adult</subject><subject>Aged</subject><subject>Bipolar Disorder - mortality</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Humans</subject><subject>Lost to Follow-Up</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Dropouts</subject><subject>Research and Practice</subject><subject>Risk Factors</subject><subject>Schizophrenia - mortality</subject><subject>United States - epidemiology</subject><subject>United States Department of Veterans Affairs</subject><subject>Veterans - psychology</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1vEzEQhi0Eomngzgn5xmmDP_YjviBFBVpQJRACrtasPZsY7dqL7W1VfhK_EkcpFZxmpHnfd2b0EPKCs43grHm9-_j5aiMY5xvJWMPEI7LiTc0rxurtY7JiTLHSy_aMnKf0gxWhavhTciaEVKxl3Yr8_oJ2MWjpFGKG0eU7ClPwe_oWZ4h5Qp9pGOh3zBjBJ7obBnAx0RmyK7NEb10-0GQO7leYDxG9Axoi7d0cRojUuhSixUjHkDLNgQ5hHMNttcwUvKXo97Avy52nYLK7QRqWHBHM4aiNmJfoiyVSAxGfkScDjAmf39c1-fb-3deLq-r60-WHi911ZaRqcsWNag2zCgdRy2Fbt51igvfQW-hbobjlskaleN8NdmsQBHSttaq0HReDknJN3pxy56Wf0JryZoRRz9FNEO90AKf_n3h30Ptwo2Wt2lrWJeDVfUAMPxdMWU8uGRxH8BiWpJVo21qoAmZN2ElpYkgp4vCwhTN9JKyPhPWRsD4RLpaX_173YPiLVP4B0iGnNg</recordid><startdate>201203</startdate><enddate>201203</enddate><creator>Davis, Chester L</creator><creator>Kilbourne, Amy M</creator><creator>Blow, Frederic C</creator><creator>Pierce, John R</creator><creator>Winkel, Bernard M</creator><creator>Huycke, Edward</creator><creator>Langberg, Robert</creator><creator>Lyle, David</creator><creator>Phillips, Yancy</creator><creator>Visnic, Stephanie</creator><general>American Public Health Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201203</creationdate><title>Reduced mortality among Department of Veterans Affairs patients with schizophrenia or bipolar disorder lost to follow-up and engaged in active outreach to return for care</title><author>Davis, Chester L ; Kilbourne, Amy M ; Blow, Frederic C ; Pierce, John R ; Winkel, Bernard M ; Huycke, Edward ; Langberg, Robert ; Lyle, David ; Phillips, Yancy ; Visnic, Stephanie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-1c96c0d9ef243f84679021babdab6291d134e991b7fd8cea2a76dd98ce712f933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bipolar Disorder - mortality</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Humans</topic><topic>Lost to Follow-Up</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Dropouts</topic><topic>Research and Practice</topic><topic>Risk Factors</topic><topic>Schizophrenia - mortality</topic><topic>United States - epidemiology</topic><topic>United States Department of Veterans Affairs</topic><topic>Veterans - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davis, Chester L</creatorcontrib><creatorcontrib>Kilbourne, Amy M</creatorcontrib><creatorcontrib>Blow, Frederic C</creatorcontrib><creatorcontrib>Pierce, John R</creatorcontrib><creatorcontrib>Winkel, Bernard M</creatorcontrib><creatorcontrib>Huycke, Edward</creatorcontrib><creatorcontrib>Langberg, Robert</creatorcontrib><creatorcontrib>Lyle, David</creatorcontrib><creatorcontrib>Phillips, Yancy</creatorcontrib><creatorcontrib>Visnic, Stephanie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of public health (1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davis, Chester L</au><au>Kilbourne, Amy M</au><au>Blow, Frederic C</au><au>Pierce, John R</au><au>Winkel, Bernard M</au><au>Huycke, Edward</au><au>Langberg, Robert</au><au>Lyle, David</au><au>Phillips, Yancy</au><au>Visnic, Stephanie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduced mortality among Department of Veterans Affairs patients with schizophrenia or bipolar disorder lost to follow-up and engaged in active outreach to return for care</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2012-03</date><risdate>2012</risdate><volume>102 Suppl 1</volume><issue>S1</issue><spage>S74</spage><epage>S79</epage><pages>S74-S79</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><abstract>We determined whether contacting Department of Veterans Affairs (VA) patients with schizophrenia or bipolar disorders (serious mental illness [SMI]) who had dropped out of care for prolonged periods resulted in reengagement with VA services and decreased mortality.
We developed a list of patients with SMI who were last treated in fiscal years 2005 to 2006, and were lost to follow-up care for at least 1 year. VA medical centers used our list to contact patients and schedule appointments. Additional VA administrative data on patient utilization and mortality through May 2009 were analyzed.
About 72% (2375 of 3306) of the patients who VA staff attempted to contact returned for VA care. The mortality rate of returning patients was significantly lower than that for patients not returning (0.5% vs 3.9%; adjusted odds ratio = 5.8; P < .001), after demographic and clinical factors were controlled.
The mortality rate for returning patients with SMI was almost 6 times less than for those who did not return for medical care. Proactive outreach might result in patients returning to care and should be implemented to reengage this vulnerable group.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>22390607</pmid><doi>10.2105/AJPH.2011.300502</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Bipolar Disorder - mortality Comorbidity Female Humans Lost to Follow-Up Male Middle Aged Patient Dropouts Research and Practice Risk Factors Schizophrenia - mortality United States - epidemiology United States Department of Veterans Affairs Veterans - psychology |
title | Reduced mortality among Department of Veterans Affairs patients with schizophrenia or bipolar disorder lost to follow-up and engaged in active outreach to return for care |
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