Matches in SemOpenAlex for { <https://semopenalex.org/work/W2913358145> ?p ?o ?g. }
- W2913358145 abstract "This descriptive study compared 2014-15 to 2005-06 data on the quality of mental health services (MHS) in relation to emergency room (ER) use to assess the impact of the 2005 Quebec MH reform regarding access, continuity and appropriateness of care for patients with mental illnesses (PMI).Data emanated from the Quebec Integrated Chronic Disease Surveillance System (Quebec/Canada). Participants (865,255 for 2014-15; 817,395 for 2005-06) were age 12 or over, with at least one MI, including substance use disorders (SUD), diagnosed during an ER visit, outpatient treatment or hospitalization. Variables included: access (ER use/frequency, hospitalization rates, outpatient consultations preceding an ER visit), care continuity (outpatient consultations following an ER visit/hospitalization, consecutive returns to the ERs), and care appropriateness (high ER use, recurrence of yearly ER visits, length of hospitalization). Frequency distributions were calculated on sex, age and geographic area for ER visits/hospitalizations in 2014-15, and between 2014 and 15 and 2005-06.PMI accounted for 12 % of the Quebec population in 2014-15 (n = 865,255), of whom 39% visited an ER for any reason. Amount and frequency of ER use and number/length of hospitalizations were almost twice as high for PMI versus patients without MI; 17% of PMI were also high/very high ER users and were frequently hospitalized. Among PMI, ER users were also frequent users of outpatient services despite a lack of follow-up appointments after ER visits or hospitalizations. Findings revealed some positive changes over time, such as decreased ER and hospitalization rates; yet overall access, continuity and appropriateness of care, as measured in this study, remained low.This study demonstrated that the Quebec reform did not produce a substantial impact on ER use or substantially improved care, as hypothesized. Better access and continuity of care should be promoted to reduce the high prevalence of ER use among PMI. Quality improvement in MHS may be realized if ERs are supported by substantial and well-integrated community MH networks." @default.
- W2913358145 created "2019-02-21" @default.
- W2913358145 creator A5016253612 @default.
- W2913358145 creator A5023667238 @default.
- W2913358145 creator A5042956572 @default.
- W2913358145 creator A5054305426 @default.
- W2913358145 creator A5058082818 @default.
- W2913358145 creator A5074402010 @default.
- W2913358145 creator A5088820862 @default.
- W2913358145 date "2019-01-15" @default.
- W2913358145 modified "2023-10-13" @default.
- W2913358145 title "Assessing quality indicators related to mental health emergency room utilization" @default.
- W2913358145 cites W1485594100 @default.
- W2913358145 cites W1531732274 @default.
- W2913358145 cites W1540986162 @default.
- W2913358145 cites W1556047942 @default.
- W2913358145 cites W1569521095 @default.
- W2913358145 cites W1591082423 @default.
- W2913358145 cites W1592338563 @default.
- W2913358145 cites W1766787229 @default.
- W2913358145 cites W1884837128 @default.
- W2913358145 cites W1896299056 @default.
- W2913358145 cites W1958587605 @default.
- W2913358145 cites W1966359965 @default.
- W2913358145 cites W1967763450 @default.
- W2913358145 cites W1967870300 @default.
- W2913358145 cites W1970648537 @default.
- W2913358145 cites W1973945367 @default.
- W2913358145 cites W1978275563 @default.
- W2913358145 cites W1979658788 @default.
- W2913358145 cites W1988552452 @default.
- W2913358145 cites W1988839397 @default.
- W2913358145 cites W1994360656 @default.
- W2913358145 cites W2006773654 @default.
- W2913358145 cites W2008406694 @default.
- W2913358145 cites W2010399063 @default.
- W2913358145 cites W2018620150 @default.
- W2913358145 cites W2020786556 @default.
- W2913358145 cites W2022896460 @default.
- W2913358145 cites W2025118936 @default.
- W2913358145 cites W2028109477 @default.
- W2913358145 cites W2033052702 @default.
- W2913358145 cites W2034583287 @default.
- W2913358145 cites W2038305039 @default.
- W2913358145 cites W2040560950 @default.
- W2913358145 cites W2043766431 @default.
- W2913358145 cites W2044257885 @default.
- W2913358145 cites W2056863568 @default.
- W2913358145 cites W2060555702 @default.
- W2913358145 cites W2071074335 @default.
- W2913358145 cites W2073942475 @default.
- W2913358145 cites W2082102545 @default.
- W2913358145 cites W2091968653 @default.
- W2913358145 cites W2098429945 @default.
- W2913358145 cites W2106413847 @default.
- W2913358145 cites W2106991736 @default.
- W2913358145 cites W2114153799 @default.
- W2913358145 cites W2115354194 @default.
- W2913358145 cites W2116743265 @default.
- W2913358145 cites W2128315562 @default.
- W2913358145 cites W2131019553 @default.
- W2913358145 cites W2133034871 @default.
- W2913358145 cites W2133258869 @default.
- W2913358145 cites W2135556754 @default.
- W2913358145 cites W2137438191 @default.
- W2913358145 cites W2138414810 @default.
- W2913358145 cites W2143276617 @default.
- W2913358145 cites W2155657008 @default.
- W2913358145 cites W2157963613 @default.
- W2913358145 cites W2166014162 @default.
- W2913358145 cites W2167293889 @default.
- W2913358145 cites W2171996024 @default.
- W2913358145 cites W2179220779 @default.
- W2913358145 cites W2187152437 @default.
- W2913358145 cites W2312441906 @default.
- W2913358145 cites W2329617054 @default.
- W2913358145 cites W2338500623 @default.
- W2913358145 cites W2345279797 @default.
- W2913358145 cites W2347188545 @default.
- W2913358145 cites W2384205531 @default.
- W2913358145 cites W2462071248 @default.
- W2913358145 cites W2523220385 @default.
- W2913358145 cites W2532810882 @default.
- W2913358145 cites W2539185084 @default.
- W2913358145 cites W2552202765 @default.
- W2913358145 cites W2556479584 @default.
- W2913358145 cites W2604006631 @default.
- W2913358145 cites W2617313431 @default.
- W2913358145 cites W2771467572 @default.
- W2913358145 cites W2791735926 @default.
- W2913358145 cites W2805728712 @default.
- W2913358145 cites W4237831939 @default.
- W2913358145 cites W46053122 @default.
- W2913358145 cites W48156414 @default.
- W2913358145 cites W2093301807 @default.
- W2913358145 doi "https://doi.org/10.1186/s12873-019-0223-8" @default.
- W2913358145 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6332534" @default.
- W2913358145 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30646847" @default.
- W2913358145 hasPublicationYear "2019" @default.
- W2913358145 type Work @default.