A community health case for psychiatric care: A cross-sectional study of county health rankings.


Journal

General hospital psychiatry
ISSN: 1873-7714
Titre abrégé: Gen Hosp Psychiatry
Pays: United States
ID NLM: 7905527

Informations de publication

Date de publication:
Historique:
received: 05 09 2018
revised: 25 10 2018
accepted: 31 10 2018
pubmed: 8 1 2019
medline: 3 9 2019
entrez: 8 1 2019
Statut: ppublish

Résumé

To determine if there is an association between the provision of mental health services and county health rankings in the United States. We used retrospective population-based, 2016 U.S. county level cross-sectional analysis to determine the association of mental health services provision on U.S. counties health rankings. The key dependent variables in this study were the county health factor rankings (CHR). The presence of inpatient, outpatient and other facilities which may provide mental health services are identified for each county. Multilevel mixed effects ordinal logistic regression models were used to account for nesting effects utilizing two levels of data which include hospital- and county-level data. Better county health rankings were associated with the presence of Outpatient services (OR = 0.69, 95% CI: 0.55-0.85) and Psychiatric hospital (OR = 0.55, 95% CI: 0.40-0.74). These findings suggest a significant association between psychiatric care and community health. Access to psychiatric services is associated with improved population health.

Identifiants

pubmed: 30616094
pii: S0163-8343(18)30369-4
doi: 10.1016/j.genhosppsych.2018.10.009
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-6

Informations de copyright

Copyright © 2018 Elsevier Inc. All rights reserved.

Auteurs

Aaron Spaulding (A)

Department of Health Sciences Research, Division of Health Care Policy and Research, Mayo Clinic Robert D. and Patricia E. Kern, Center for the Science of Health Care Delivery, Jacksonville, FL, USA. Electronic address: spaulding.aaron@mayo.edu.

Sericia Stallings-Smith (S)

Department of Public Health, Brooks College of Health, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, USA. Electronic address: s.stallings-smith@unf.edu.

Hanadi Hamadi (H)

Department of Health Administration, Brooks College of Health, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, USA. Electronic address: h.hamadi@unf.edu.

Sinyoung Park (S)

Department of Health Administration, Brooks College of Health, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, USA. Electronic address: sinyoung.park@unf.edu.

Shehzad Niazi (S)

Department of Psychiatry & Psychology, Mayo Clinic Robert D. and Patricia E. Kern, Center for the Science of Health Care Delivery, Jacksonville, FL, USA. Electronic address: niazi.shehzad@mayo.edu.

Emma Apatu (E)

Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, Ontario L8S 4K1, Canada. Electronic address: apatue@mcmaster.ca.

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