Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Miriam Ross

Abstract

Studies have suggested that differences in hospital ownership structures impact the rates of 30-day hospital readmission and 30-day hospital follow-up in patients with psychiatric diagnoses. The purpose of this quantitative study was to examine the relationship between hospital ownership, hospital type, rates of 30-day psychiatric readmission, and rates of 30-day follow-up for psychiatric patients. This study drew on Donabedian's conceptual model of hospital quality assessment and used ANOVA testing for the four research questions concerning whether there is a significant relationship between 1) hospital ownership and inpatient psychiatric patient readmission within 30 days of discharge, 2) hospital type, and inpatient psychiatric patient readmission within 30 days of discharge, 3) hospital ownership and rates of 30-day follow-up for psychiatric patients, 4) hospital type and rates of 30-day follow-up. The study sample included 1,466 psychiatric hospitals or psychiatric units throughout the United States. ANOVA testing and Pearson correlation determined weak to medium-strength relationships between all sets of predictor and continuous variables based on 0.05 alpha levels, and all four null hypotheses were rejected. Research recommendations include exploring patient quality outcome measures in hospitals with different ownership structures to determine potential disparities for psychiatric patients. The results of this study may also promote positive social change by challenging health care administrators to focus on treatments for psychiatric patients within hospitals and strengthen follow-up in the community through more effectively managed patient-centered care.

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