Characteristics of Hospital Emergency Room Visits for Mental and Substance Use Disorders
| Autor: | Toluwalope Ayangbayi, Albert A. Okunade, Thierry W. Nianogo, Mustafa Karakus |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Adolescent Substance-Related Disorders Logistic regression Medical care 03 medical and health sciences Young Adult 0302 clinical medicine Health insurance Medicine Humans Pooled data 030212 general & internal medicine Retrospective Studies business.industry Mental Disorders Patient Protection and Affordable Care Act Physical health Middle Aged medicine.disease United States 030227 psychiatry Nursing Homes Psychiatry and Mental health Cross-Sectional Studies Health Care Surveys Ambulatory Ill-Housed Persons Female Medical emergency Substance use business Nursing homes Emergency Service Hospital |
| Zdroj: | Psychiatric services (Washington, D.C.). 68(4) |
| ISSN: | 1557-9700 |
| Popis: | Objective:This study compared characteristics of visits to emergency rooms (ERs) for mental and substance use disorders and for physical health conditions to establish a baseline against which to measure changes after full implementation of the Affordable Care Act (ACA) and parity legislation.Methods:The retrospective, cross-sectional analysis fit a logistic regression model to pooled data comprising 193,526 observations from National Hospital Ambulatory Medical Care Survey (NHAMCS) data from 2005 to 2011.Results:ER visits for mental or substance use disorders increased from 27.9 per 1,000 ER visits in 2005 to 35.1 in 2011. Homeless persons and nursing home residents had the highest rates of such visits—173.7 and 95.2 per 1,000 ER visits, respectively, in 2011.Conclusions:Understanding differences in profiles of ER visits on the basis of the reason for the visit can inform the design of more cost-effective policies to guide ER intake, after further implementation of the ACA and parity legislation. |
| Databáze: | OpenAIRE |
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