Reasons for High Emergency Department Use Among Patients With Common Mental Disorders or Substance-Related Disorders.

Autor:	Dion KM; Researcher, Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Research Assistant, Douglas Mental Health University Institute Research Centre, Montreal, QC., Ferland F; Researcher, School of Social Work, Laval University, Addiction Rehabilitation Centre, National Capital University Integrated Health and Social Services Centre, Quebec City, QC., Farand L; Honorary Professor, Department of Health Administration, Policy and Evaluation, School of Public Health, University of Montreal, Montreal, QC., Gauvin L; Professor, Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Theme Leader, Health Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, QC., Fleury MJ; Professor, Department of Psychiatry, Douglas Research Centre, McGill University, Montreal, QC.
Jazyk:	angličtina
Zdroj:	Healthcare policy = Politiques de sante [Healthc Policy] 2024 Aug; Vol. 19 (4), pp. 55-69.
DOI:	10.12927/hcpol.2024.27333
Abstrakt:	Aims: This study examined the reasons for high emergency department (ED) use among patients with common mental disorders (MDs), substance-related disorders (SRDs) or co-occurring MDs-SRDs. Method: Following content analysis, 42 high ED users (three-plus visits/year) recruited in two Quebec EDs were interviewed. Results: The reasons included barriers to outpatient care, patient disabilities and professional practices. Patients with SRDs trust outpatient services less, those with MDs had important unmet needs and those with MDs-SRDs faced care coordination issues. Conclusion: Improvements such as ED use monitoring, consolidating MD-SRD practices and continuous training are needed in EDs and outpatient services to enhance access and continuity of care. (Copyright © 2024 Longwoods Publishing.)
Databáze:	MEDLINE
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