Variations in Performance of Mental Health Providers in the English NHS: An Analysis of the Relationship Between Readmission Rates and Length-of-Stay

Valerie Moran, Rowena Jacobs, Anne Mason

Research output: Contribution to journalArticlepeer-review

Abstract

Length-of-stay (LOS) for inpatient mental health care is a major driver of variation in resource use internationally. We explore determinants of LOS in England, focusing on the impact of emergency readmission rates which can serve as a measure of the quality of care. Data for 2009/2010 and 2010/2011 are analysed using hierarchical and non-hierarchical models. Unexplained residual variation among providers is quantified using Empirical Bayes techniques. Diagnostic, treatment and patient-level demographic variables are key drivers of LOS. Higher emergency readmission rates are associated with shorter LOS. Ranking providers by residual variation reveals significant differences, suggesting some providers can improve performance.

Original languageEnglish
Pages (from-to)188-200
Number of pages13
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume44
Issue number2
DOIs
Publication statusPublished - Mar 2017
Externally publishedYes

Keywords

  • Bayes Theorem
  • Emergency Medical Services/statistics & numerical data
  • England
  • Female
  • Humans
  • Length of Stay/statistics & numerical data
  • Male
  • Mental Health Services/statistics & numerical data
  • Patient Readmission/statistics & numerical data
  • Quality of Health Care/statistics & numerical data
  • State Medicine/statistics & numerical data

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