Scientific Programme
Abstract
Register
Abstract
Year 2021
September 2021

SHBC1209

Abstract Title
Effects of Lack of Continuity of Care due to Covid-19 Measures on Patients' Wellness
Authors

J.Y.F.TAY1, M.C.GOH1

Institutions

Institute of Mental Health1

Background & Hypothesis

Maintaining Continuity of Care facilitates communication and therapeutic relationship between patients and care providers, enabling better clinical outcomes (Cabana & Jee, 2004). Due to Covid-19 measures, the process of care was split into one designated inpatient team and one designated outpatient team.  This study aims to determine if disrupted care continuity reduces patients’ wellness, as measured by increased readmission rates.

Methods

An acute psychiatric ward’s readmission rates were compared over three periods:

14th March 2018 to 6th April 2020: Pre-Covid when care teams remained unchanged 7th April 2020 to 11th Oct 2020: During Covid-19 inpatient-outpatient segregation measures 12th Oct 2020 to 18th April 2021: Post-measures as Pre-Covid 

Readmission rates were measured as percentages of discharges with IMH-follow-up during each period.

Results

1st period: 2 years Pre-Covid (14th March 2018 – 6th April 2020)

Discharges: 668, Readmissions: 15, Readmission rate: 2.25%

2nd period:  6 months during heightened Covid measures with segregation of inpatient-outpatient teams (7th April 2020 – 11th Oct 2020)

Discharges:185, Readmissions: 11 (7 readmissions [63.6%] were due to non-compliance), Readmission rate: 5.95%

3rd period: 6 months post-measures (12th Oct 2020 – 18th April 2021); back to continuity of care similar to Pre-Covid

Discharges: 158, Readmissions: 4, Readmission rate: 2.53%

Discussion & Conclusion

Maintaining consistent care teams as patients transition from ward to community, as shown in results, allows for case managers to build stronger therapeutic relationships, and better provide psychoeducation on importance of compliance; encouraging them to be treatment-adherent and remain well without requiring admission.

Top