Predictors of Frequent Emergency Department Utilization for Mental Health Reasons

Overcrowding in emergency departments (ED) jeopardizes quality and access to health care, which represents a major issue for service delivery. This study determined predictors of frequent ED utilization among 320 patients recruited from six hospital ED in Quebec (Canada). Data collection included pa...

Full description

Saved in:
Bibliographic Details
Published in:The journal of behavioral health services & research 2021-04, Vol.48 (2), p.259-273
Main Authors: Kaltsidis, Gesthika, Bamvita, Jean-Marie, Grenier, Guy, Fleury, Marie-Josée
Format: Article
Language:English
Subjects:
Community and Environmental Psychology
Emergency medical care
Emergency services
Health care access
Health Informatics
Health Promotion and Disease Prevention
Health Psychology
Health services utilization
Hospitalization
Integrated care
Interviews
Medicine
Medicine & Public Health
Mental health
Overcrowding
Personality disorders
Psychiatry
Public Health
Regression analysis
Schizophrenia
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Overcrowding in emergency departments (ED) jeopardizes quality and access to health care, which represents a major issue for service delivery. This study determined predictors of frequent ED utilization among 320 patients recruited from six hospital ED in Quebec (Canada). Data collection included patient interviews and administrative databanks. A hierarchical linear regression analysis was performed using the Andersen Behavioral Model as a framework, with variables organized into predisposing, enabling, and needs factors. Results showed that needs factors were most strongly associated with ED utilization, particularly schizophrenia and personality disorders. Predisposing and enabling factors each contributed one variable to the model: past hospitalization for Mental Health (MH) reasons, and having regular care from an outpatient psychiatrist over the 12 months prior to interview at the ED, respectively. Increasing integration of MH services in networks may reduce unnecessary ED utilization and overcrowding, while providing better accessibility and care continuity for patients who visit ED for MH reasons.
ISSN:1094-3412
1556-3308
DOI:10.1007/s11414-020-09695-4