A community health case for psychiatric care: A cross-sectional study of county health rankings.
Community health
County health ranking
Inpatient psychiatric hospitals
Mixed-effects modeling
Outpatient psychiatric services
Psychiatric services
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
1-6Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.