Exploring the factors associated with non-urgent emergency department utilisation for mental health care.
emergency department
mental illness
non-urgent
utilisation
Journal
Journal of research in nursing : JRN
ISSN: 1744-988X
Titre abrégé: J Res Nurs
Pays: England
ID NLM: 101234311
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
entrez:
16
8
2021
pubmed:
1
12
2019
medline:
1
12
2019
Statut:
ppublish
Résumé
Emergency department visits for mental health care are on the rise across North America. Patients with mental illness are at an increased risk for frequent and non-urgent emergency department visitation. The purpose of this study was to examine the independent predictors of non-urgent emergency department use for mental health care. A secondary data analysis was conducted with archived data provided by the Erie St. Clair Local Health Integration Network in Ontario. A total of 13,114 mental health-related emergency department visits were analysed using logistic regression with generalised estimating equations modelling. The findings suggest the following characteristics are predictive of non-urgent emergency department use for mental health care: age, season, time of day, access to primary health care, mode of arrival, hospital type, referral source and patient diagnosis. The findings of this study can be utilised to assist clinicians and policy makers in identifying and managing patients using the emergency department for non-urgent mental health care.
Sections du résumé
BACKGROUND
BACKGROUND
Emergency department visits for mental health care are on the rise across North America. Patients with mental illness are at an increased risk for frequent and non-urgent emergency department visitation.
AIMS
OBJECTIVE
The purpose of this study was to examine the independent predictors of non-urgent emergency department use for mental health care.
METHODS
METHODS
A secondary data analysis was conducted with archived data provided by the Erie St. Clair Local Health Integration Network in Ontario.
RESULTS
RESULTS
A total of 13,114 mental health-related emergency department visits were analysed using logistic regression with generalised estimating equations modelling. The findings suggest the following characteristics are predictive of non-urgent emergency department use for mental health care: age, season, time of day, access to primary health care, mode of arrival, hospital type, referral source and patient diagnosis.
CONCLUSIONS
CONCLUSIONS
The findings of this study can be utilised to assist clinicians and policy makers in identifying and managing patients using the emergency department for non-urgent mental health care.
Identifiants
pubmed: 34394591
doi: 10.1177/1744987119845020
pii: 10.1177_1744987119845020
pmc: PMC7932317
doi:
Types de publication
Journal Article
Langues
eng
Pagination
663-674Informations de copyright
© The Author(s) 2019.
Déclaration de conflit d'intérêts
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
Int J Ment Health Nurs. 2007 Apr;16(2):126-31
pubmed: 17348963
Acad Emerg Med. 2004 Dec;11(12):1302-10
pubmed: 15576521
Prim Care Companion CNS Disord. 2014 Aug 28;16(4):
pubmed: 25664216
Emerg Nurse. 2014 Sep;22(5):32-7
pubmed: 25185925
South Med J. 1981 Jun;74(6):709-12
pubmed: 7244751
Issues Ment Health Nurs. 2013 Apr;34(4):240-8
pubmed: 23566186
Acad Emerg Med. 2001 Nov;8(11):1030-6
pubmed: 11691664
J Psychiatr Ment Health Nurs. 2011 Feb;18(1):9-16
pubmed: 21214679
J Healthc Manag. 2013 Nov-Dec;58(6):412-27; discussion 428
pubmed: 24400457
Behav Res Methods. 2009 Nov;41(4):1149-60
pubmed: 19897823
Emerg Med Int. 2014;2014:479081
pubmed: 24627808
Aust N Z J Psychiatry. 2005 Jan-Feb;39(1-2):74-80
pubmed: 15660708
Australas Emerg Nurs J. 2014 Feb;17(1):23-9
pubmed: 24507180
Ann Emerg Med. 2008 Aug;52(2):126-36
pubmed: 18433933
Ann Emerg Med. 2016 Oct;68(4):467-483.e15
pubmed: 27287549
J Health Care Poor Underserved. 2015 Aug;26(3):941-50
pubmed: 26320924
Am J Manag Care. 2013 Jan;19(1):47-59
pubmed: 23379744
Arch Psychiatr Nurs. 2013 Aug;27(4):171-8
pubmed: 23915694
Cad Saude Publica. 2009 Jan;25(1):7-28
pubmed: 19180283
Emerg Med J. 2007 Sep;24(9):641-4
pubmed: 17711942
J Nurs Scholarsh. 2014 Mar;46(2):106-15
pubmed: 24354886