Journal of Taiwan Occupational Therapy Research and Practice
Objective: The aim of this research was to examine the effects of community rehabilitation centers or half-way houses on medical care utilization for patients with schizophrenia and related factors. Methods: We used the 2002-2007 Psychiatric Inpatients Medical Claims Data from the National Health Research Institute to extract 203 schizophrenic patients who discharged from psychiatric hospitalization in 2006 and continuously received treatment for more than 30 days in community rehabilitation centers within 1 year and 196 schizophrenic patients in half-way houses. We also included 1631 schizophrenic patients who discharged from psychiatric hospitalization within 1 year and only received psychiatric outpatient follow-ups. Data were analyzed by using, -test, one-way ANOVA, difference in difference, and multiple regressions. We also used propensity score matching to adjust for selection bias. Results: Compared with patients who received only psychiatric outpatient follow-ups, the net psychiatric medical expenditure decreased NT$4641.18 during the first year follow-up and decreased NT$6856.95 during the second year follow-up in patients who received treatment from community rehabilitation centers.The influences factors of the effects of community rehabilitation service were age, gender, psychiatric length-of-stay, non-psychiatric length-of-stay, non-psychiatric medical expenditure 1 year before receiving treatment, ownership of community psychiatric rehabilitation institutions, received community psychiatric rehabilitation services from institutions outside the region of residency, and the duration of treatment received. Conclusion: Compared with patients who received only psychiatric outpatient treatment, patients who received treatment from community rehabilitation centers had lower psychiatric medical expenditure in one and two-year follow-ups. Patients who received treatment from half-way houses had lower psychiatric medical expenditure in one-year follow-up.