Acute hospital reconfiguration and self-harm presentations: a before-and-after study

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dc.check.date2019-03-27
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorGriffin, Eve
dc.contributor.authorMurphy, Catherine
dc.contributor.authorPerry, Ivan J.
dc.contributor.authorLynch, Brenda
dc.contributor.authorArensman, Ella
dc.contributor.authorCorcoran, Paul
dc.contributor.funderHealth Service Executive, Irelanden
dc.date.accessioned2018-06-15T14:04:11Z
dc.date.available2018-06-15T14:04:11Z
dc.date.issued2018-03-27
dc.date.updated2018-06-15T13:54:59Z
dc.description.abstractBackground: The evidence for improved patient outcomes following acute hospital reconfiguration is limited. Aims: We assessed the impact of the reconfiguration of acute services within a hospital group in terms of the number and clinical management of self-harm presentations. Methods: The study was conducted across the three Mid-Western regional hospitals in Ireland during 2004–2014. Reconfiguration in April 2009 involved two hospitals reducing the operation of their emergency departments (EDs) from 24 to 12 h. We used Poisson regression analysis of data from the National Self-Harm Registry Ireland to assess change in the hospital burden and clinical management of self-harm associated with the reconfiguration. Results: We observed that the cumulative decrease in self-harm presentations at the two reconfigured hospitals was of a similar magnitude to the increase observed at the larger hospital. Despite this large increase in presentations, there was only a small increase in admissions. Reconfiguration of hospital services was also associated with changes in the provision of assessments for self-harm patients. Conclusions: There is evidence to suggest that acute hospital reconfiguration of hospital services impacts on patterns of patient flow. Findings have implications for those implementing reconfiguration of acute services.en
dc.description.sponsorshipHealth Service Executive, Ireland (The National Self-Harm Registry Ireland is funded by the Irish Health Service Executive’s National Office for Suicide Prevention)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGriffin, E., Murphy, C., Perry, I. J., Lynch, B., Arensman, E. and Corcoran, P. (2019) 'Acute hospital reconfiguration and self-harm presentations: a before-and-after study', Irish Journal of Medical Science, 188(1), pp. 1-4. doi: 10.1007/s11845-018-1797-yen
dc.identifier.doi10.1007/s11845-018-1797-y
dc.identifier.endpage4en
dc.identifier.issn1863-4362
dc.identifier.journaltitleIrish Journal of Medical Scienceen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/6363
dc.language.isoenen
dc.publisherSpringer Verlagen
dc.relation.urihttps://doi.org/10.1007/s11845-018-1797-y
dc.rights© Royal Academy of Medicine in Ireland 2018. Published by Springer Verlag. This is a post-peer-review, pre-copyedit version of an article published in Irish Journal of Medical Science. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11845-018-1797-yen
dc.subjectAcute health servicesen
dc.subjectHospital reconfigurationen
dc.subjectSelf-harmen
dc.titleAcute hospital reconfiguration and self-harm presentations: a before-and-after studyen
dc.typeArticle (peer-reviewed)en
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