Profiles of Emergency Department Users with Psychiatric Disorders Related to Barriers to Outpatient Care

Chen, Tiffany and Cao, Zhirong and Ferland, Francine and Farand, Lambert and Fleury, Marie-Josée (2024) Profiles of Emergency Department Users with Psychiatric Disorders Related to Barriers to Outpatient Care. International Journal of Environmental Research and Public Health, 21 (2). p. 234. ISSN 1660-4601

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Abstract

Emergency department (ED) overcrowding is a growing problem worldwide. High ED users have been historically targeted to reduce ED overcrowding and associated high costs. Patients with psychiatric disorders, including substance-related disorders (SRDs), are among the largest contributors to high ED use. Since EDs are meant for urgent cases, they are not an appropriate setting for treating recurrent patients or replacing outpatient care. Identifying ED user profiles in terms of perceived barriers to care, service use, and sociodemographic and clinical characteristics is crucial to reduce ED use and unmet needs. Data were extracted from medical records and a survey was conducted among 299 ED patients from 2021 to 2022 in large Quebec networks. Cluster algorithms and comparison tests identified three profiles. Profile 1 had the most patients without barriers to care, with case managers, and received the best primary care. Profile 2 reported moderate barriers to care and low primary care use, best quality of life, and more serious psychiatric disorders. Profile 3 had the most barriers to care, high ED users, and lower service satisfaction and perceived mental/health conditions. Our findings and recommendations inform decision-makers on evidence-based strategies to address the unmet needs of these vulnerable populations.

Item Type: Article
Subjects: Research Scholar Guardian > Multidisciplinary
Depositing User: Unnamed user with email support@scholarguardian.com
Date Deposited: 19 Feb 2024 04:58
Last Modified: 19 Feb 2024 04:58
URI: http://science.sdpublishers.org/id/eprint/2579

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