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
Hauptverfasser: 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
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container_end_page S79
container_issue S1
container_start_page S74
container_title American journal of public health (1971)
container_volume 102 Suppl 1
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
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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 ; 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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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